Organization Active NPI

Divine Developmental Services LLC

  • Community/Behavioral Health Agency
  • Holbrook, NY
National Provider Identifier
1184553984
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE DEVELOPMENTAL SERVICES LLC
Practice address
53 Wyndham LN
Holbrook, NY 11741-2886
Phone
(631) 521-6063
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Camille Giordano
Title
Owner
Phone
(631) 521-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

53 Wyndham LN
Holbrook, NY 11741-2886

Mailing address

53 Wyndham LN
Holbrook, NY 11741-2886
Phone (631) 521-6063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1184553984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WYNDHAM LN",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412886",
            "telephone_number": "631-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WYNDHAM LN",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412886",
            "telephone_number": "631-521-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-521-6063"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.