Family Residences and Essential Enterprises, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Old Bethpage, NY
NPI 1497943757 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1497943757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- 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) 870-1658
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Vincent Cona
- Title
- Vice President
- Phone
- (516) 870-1600
Other NPIs on the same Medicare enrollment 2
Practitioners 96
-
Olubukola Elizabeth Ajayi, PMHNP
-
Hooman Arya, PA-C, MS
-
Elizabeth Barry, NP
-
Francis Kenneth Chapman, LMSW
-
Elizabeth Ann Cohen, FNP-C , PMHNP-BC
-
Rachel Colin, NP
-
Jennifer B. Ferraro, N.P.P.
-
Keith C Field, P.A.
-
Syed H Jaffery, M.D
-
Kevin J. Kearney, PSY.D.
-
Danielle Martin, D.O.
-
Monica Rosenbaum, NP
-
Victoria Ann Schultz, ANP, PMHNP
-
Alan L Steinberg, MD
-
Emmanuella E Viard, NURSE PRACTITIONER
-
Diane Wagner, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040327000334 | NY | Part B Supplier - Clinic/Group Practice | 5890687453 |
Receives reassigned benefits from 27 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oakdale, NY; Old Bethpage, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01542369 | Medicaid | NY |
Other names
- Terry's Place
Other providers in Old Bethpage, NY
- Cynthia C Espinosa
- Family Residences & Essential Enterprises, Inc
- Family Residences & Essential Enterprises, Inc
- Family Residences and Essential Enterprises, Inc.
- Family Residences and Essential Enterprises, Inc.
- Family Residences and Essential Enterprises, Inc.
- Family Residences and Essential Enterprises, Inc.
- Family Residencies & Essential Enterprises
- Family Residencies and Essential Enterprises
- Family Residencies and Essential Enterprises
All providers in Old Bethpage, NY · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.