Active NPI
Family Residences & Essential Enterprises, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Hempstead, NY
National Provider Identifier
1407492499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC
- Practice address
- 215 Atlantic Ave
Hempstead, NY 11550-1137 - Phone
- (516) 870-1600
- Fax
- (516) 870-1658
- NPI assigned
- Nov 25, 2019
- Last updated
- Nov 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Budd
- Title
- Ceo
- Phone
- (516) 870-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
215 Atlantic Ave
Hempstead, NY 11550-1137
Mailing address
191 Bethpage Sweet Hollow Road
Attn: Accounting
Old Bethpage, NY 11804-1314
Phone (516) 870-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04419825 | Medicaid | NY |
Other names 1
- FREE Atlantic Ave ICF
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vcona01@familyres.org |
National Provider Directory
National Provider Directory- Tax ID family
- Family Residencies and Essential Enterprises
Other organizations with this tax ID 26
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Old Bethpage, NY
- NPI 1114182284
-
- Community/Behavioral Health Agency
- Old Bethpage, NY
- NPI 1548886369
-
dba 903 Melville Estates ICF
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Melville, NY
- NPI 1326494980
-
dba 911 Melville Estates ICF
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Melville, NY
- NPI 1407201163
-
dba 905 Melville Estates ICF
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Melville, NY
- NPI 1720434996
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Queens Village, NY
- NPI 1962947846
-
- Nursing Facility/Intermediate Care Facility
- Medford, NY
- NPI 1316267040
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Old Bethpage, NY
- NPI 1043411481
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Old Bethpage, NY
- NPI 1184825424
-
- Community/Behavioral Health Agency
- Old Bethpage, NY
- NPI 1700310364
-
- Case Management Agency
- Old Bethpage, NY
- NPI 1720560568
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bethpage, NY
- NPI 1134317498
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Medicine Physician
- Jericho, NY
- NPI 1831288851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574640000000",
"number": "1407492499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 BETHPAGE SWEET HOLLOW ROAD",
"address_2": "ATTN: ACCOUNTING",
"city": "OLD BETHPAGE",
"state": "NY",
"postal_code": "118041314",
"telephone_number": "516-870-1600",
"fax_number": "516-870-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ATLANTIC AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115501137",
"telephone_number": "516-870-1600",
"fax_number": "516-870-1658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"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"
},
"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": "04419825",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcona01@familyres.org",
"affiliation": "N",
"endpointDescription": "Organization email",
"address_1": "215 Atlantic Ave",
"city": "Hempstead",
"state": "NY",
"country_code": "US",
"postal_code": "115501137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FREE Atlantic Ave ICF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hempstead, NY
- Paulette Evangelle Fairclough
- Pamela Falke
- Family and Children's Association - Hempstead
- Family Health & Medical Aesthetic Center Inc
- Family Pediatric Home Care
- Maggie M Farag, RPH
- Foluke Grace Fashakin, NURSE PRACTITIONER
- Federation Employment and Guidance Service, Inc. (FEGS Health and Human Services System)
- Juliana Feeney
- Carmen Milagros Feliciano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.