Mako Residence
Mako Residence is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in Southold, NY, holding Type 2 (organization) NPI 1164540522 since 2007. The authorized official on file is Edwin Kennedy, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164540522 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mako Residence |
| Practice address | 380 EDS RD, Southold, NY, 11971 |
| Phone | 6316653434 |
| Enumeration date | 2007-03-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Edwin Kennedy |
|---|---|
| Title | Cfo |
| Phone | 5167337000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Primary | 6186446 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245898 | Medicaid | NY | — |
| 6186446 | Other | NY | OPERATING CERTIFICATE |
Copy-ready billing details
Provider: Mako Residence NPI: 1164540522 Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility) Address: 380 EDS RD, Southold, NY, 11971
Verify this record
Cross-check NPI 1164540522 against the authoritative CMS record: view Mako Residence on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mako Residence?
Who is the authorized official for Mako Residence?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.