FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC. (NPI# 1497943757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497943757 |
| Entity Type | Organization |
| Organization Name | FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC. |
| Other Organization Name | TERRY'S PLACE |
| Practice Address |
191 Sweet Hollow Rd Old Bethpage NY 11804-1314 |
| Mailing Address |
191 Sweet Hollow Rd Old Bethpage NY 11204-1314 |
| Practice Telephone | 5168701600 |
| Practice Fax Number | 5168701658 |
| Mailing Telephone | 5168701600 |
| Mailing Fax Number | 5168701658 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MR. ROBERT S BUDD (CEO) |
| Authorized Official Telephone | 5168701600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01542369 | 05 |
| Other Name | Type Code |
|---|---|
| Terry's Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720560568 | Family Residences and Essential Enterprises, Inc. | Case Management | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2018-08-29 |
| 1700310364 | Family Residences and Essential Enterprises, Inc. | Community/Behavioral Health | 191 Sweet Hollow Rd, Family Residences and Essential Enterprises, Inc., Old Bethpage, NY 11804-1314 | 2017-04-20 |
| 1184825424 | Family Residences and Essential Enterprises, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1314 | 2007-05-31 |
| 1043411481 | Family Residences and Essential Enterprises, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1314 | 2007-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC. | 191 Sweet Hollow Road, Old Bethpage, Ny 11804 |
| Street Address |
191 SWEET HOLLOW RD |
| City | OLD BETHPAGE |
| State | NY |
| Zip Code | 11804-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457552804 | Family Residencies and Essential Enterprises | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1314 | 2007-05-31 |
| 1720560568 | Family Residences and Essential Enterprises, Inc. | Case Management | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2018-08-29 |
| 1609367952 | Camille Anne Livingston | Counselor | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2018-05-22 |
| 1700310364 | Family Residences and Essential Enterprises, Inc. | Community/Behavioral Health | 191 Sweet Hollow Rd, Family Residences and Essential Enterprises, Inc., Old Bethpage, NY 11804-1314 | 2017-04-20 |
| 1801327150 | Valerie Lynn Davis I | Registered Nurse | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2017-03-27 |
| 1992157234 | Rides Unlimited of New York | Non-emergency Medical Transport (VAN) | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2016-07-11 |
| 1578948444 | Marissa Brianne Kubicki | Social Worker | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2015-07-21 |
| 1295970762 | Jillian Argiros | Social Worker | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2008-12-11 |
| 1760635536 | Park House Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2008-10-24 |
| 1114182284 | Family Residences & Essential Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081451 | Samantha Kennedy | Speech-Language Pathologist | 31 E Park Dr, Old Bethpage, NY 11804 | 2017-08-31 |
| 1588086714 | Diamond Drugs II, Inc. | Pharmacy | 724 Old Bethpage Rd., Diamond Drugs II, Inc., Old Bethpage, NY 11804 | 2014-01-07 |
| 1215271242 | Jill Dinhofer | Psychologist | 6 Vanderbilt Lane, Old Bethpage, NY 11804 | 2012-11-15 |
| 1376805226 | Michelle Levy | Specialist | 8 Sheli Drive, Old Bethpage, NY 11804 | 2012-06-15 |
| 1275778052 | Joseph Christopher Balsamo | Optometrist | 24 Sherman Road, Old Bethpage, NY 11804 | 2008-12-09 |
| 1750411492 | Joanne Dale Eisen | Dentist | 1188 Round Swamp Road, Old Bethpage, NY 11804 | 2007-03-06 |
| 1164564225 | Naomi Gittler | Speech-Language Pathologist | 103 Gerald Lane Old Bethpage, New York, NY 11804 | 2007-02-13 |
| 1659574036 | Rosemary Ann Giblin | Social Worker | 6 Cedar Drive East, Old Bethpage, NY 11804-0000 | 2007-06-06 |
| 1801337290 | Robert James Ensmenger | Specialist/Technologist | 7 Beatrice Ln, Old Bethpage, NY 11804-1001 | 2017-03-17 |
| 1558498113 | Elyse Candice Fields | Speech-Language Pathologist | 32 Beatrice Ln, Old Bethpage, NY 11804-1002 | 2007-02-28 |
| Find all providers in zip 11804 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134317498 | Family Residencies & Essential Enterprises | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 191 Sweet Hollow Rd, Old Bethpage, NY 11804-1314 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1366914772 | Michelle Thomas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2713 Colonial Dr, New Windsor, NY 12553-4925 | 2018-12-24 |
| 1730659327 | Nathalie Lawrence Ot P C | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 566 Macon Pl, Uniondale, NY 11553-2829 | 2018-11-27 |
| 1598249831 | Annie Hwang Pt P.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Teneyck Ave, Valley Stream, NY 11580-4016 | 2018-09-22 |
| 1801396841 | Tlc Kids Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3270 Mark Alan Dr, Wantagh, NY 11793-1841 | 2018-02-16 |
| 1760929715 | Sheltering Arms Children and Family Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2749 University Ave, Apt 3, Bronx, NY 10468-3302 | 2017-01-30 |
| 1417499385 | J. Gudis Speech and Language | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 E 31st St Apt 5d, New York, NY 10016-6828 | 2016-11-09 |
| 1356700488 | Cnyddso | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Schuyler St, Rome, NY 13440-2825 | 2016-02-17 |
| 1134592470 | Beacon Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 54 Henry Ave, Babylon, NY 11702-1327 | 2015-11-09 |
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
| City | OLD BETHPAGE |
| Zip Code | 11804 |
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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.