NPIMap

Organization Active NPI

Family Residences and Essential Enterprises, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Old Bethpage, NY
National Provider Identifier
1043411481
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC.
Practice address
191 Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Phone
(516) 870-1600
Fax
(516) 870-1671
NPI assigned
May 31, 2007
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Mr. Robert Budd
Title
Ceo
Phone
(516) 870-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

191 Sweet Hollow Rd
Old Bethpage, NY 11804-1314

Mailing address

191 Sweet Hollow Rd
Old Bethpage, NY 11204-1314
Phone (516) 870-1600

Other identifiers 1

IdentifierTypeStateIssuer
01014575MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Family Residencies and Essential Enterprises27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1043411481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "112041314",
            "telephone_number": "516-870-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041314",
            "telephone_number": "516-870-1600",
            "fax_number": "516-870-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-870-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.