FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC. (NPI# 1093863565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093863565 |
| Entity Type | Organization |
| Organization Name | FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC. |
| Other Organization Name | FAMILY WELLNESS CENTER |
| Practice Address |
120 Plant Ave Hauppauge NY 11788-3805 |
| Practice Telephone | 6312731300 |
| Practice Fax Number | 6312734342 |
| Mailing Telephone | 6312731300 |
| Mailing Fax Number | 6312734342 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | MR. ROBERT S. BUDD (CEO) |
| Authorized Official Telephone | 6312731300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
5157205R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02167980 | 05 |
| Other Name | Type Code |
|---|---|
| Family Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386886232 | Family Residences & Essential Enterprises, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3804 | 2009-03-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC. | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 |
| Street Address |
120 PLANT AVE |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041447 | Barbara Ann Shultz | Psychologist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2006-08-17 |
| 1700331691 | Long Island Select Healthcare, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2016-08-20 |
| 1093028466 | Kirk Osterman | Physical Therapy Assistant | 120 Plant Ave, Family Wellness Center, Hauppauge, NY 11788-3804 | 2010-07-14 |
| 1386886232 | Family Residences & Essential Enterprises, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3804 | 2009-03-24 |
| 1841435856 | Thomas Carmine Debello Jr. | Social Worker | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2008-12-04 |
| 1801076724 | Gary S Seiden | Dentist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-11-08 |
| 1407063621 | Jazmin Yannetin Garcia | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-05-17 |
| 1457575201 | Ramak Bakhshoudeh | Physical Therapist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-04-12 |
| 1326170689 | Satwatie Antis | Nurse Practitioner | 120 Plant Ave, Hauppauge, NY 11788 | 2007-03-12 |
| 1871623173 | Sandra Guillen | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.