FAMILY RESIDENCES AND ESSENTIAL ENTERPRISE, INC. (NPI# 1720434996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720434996 |
| Entity Type | Organization |
| Organization Name | FAMILY RESIDENCES AND ESSENTIAL ENTERPRISE, INC. |
| Other Organization Name | 905 MELVILLE ESTATES ICF |
| Practice Address |
905 Melville Estates Family Residences and Essential Enterprises, Inc. 905 M Melville NY 11747 |
| Mailing Address |
191 Sweet Hollow Rd Family Residences and Essential Enterprise, Inc. -905 M Old Bethpage NY 11804-1314 |
| Practice Telephone | 5168701600 |
| Practice Fax Number | 5168701658 |
| Mailing Telephone | 5168701600 |
| Mailing Fax Number | 5168701658 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| 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 | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 905 Melville Estates ICF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1326494980 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 903 Melville Estates, 903 Melville Estates Icf, Melville, NY 11747 | 2016-05-12 |
| 1407201163 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 911 Melville Estates, Family Residences and Essential Enterprises, Inc.-911 M, Melville, NY 11747 | 2016-05-02 |
| Street Address |
905 MELVILLE ESTATES FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES, INC. 905 M |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494980 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 903 Melville Estates, 903 Melville Estates Icf, Melville, NY 11747 | 2016-05-12 |
| 1407201163 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 911 Melville Estates, Family Residences and Essential Enterprises, Inc.-911 M, Melville, NY 11747 | 2016-05-02 |
| 1144684630 | Acld | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 910 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-11 |
| 1437511334 | Acld | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 906 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-22 |
| 1467939389 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 909 Melville Estates Ct, Melville, NY 11747-2827 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.