MR. KENNETH WALLACE LANDEAU (NPI# 1972617173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972617173 |
Entity Type | Individual |
Full Name | MR. KENNETH WALLACE LANDEAU |
Credential | COTA/L |
Practice Address |
120 Plant Ave Hauppauge NY 11788-3805 |
Mailing Address |
394 Townline Rd Commack NY 11725-1424 |
Practice Telephone | 6318513810 |
Mailing Telephone | 6314994661 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 005537-1 | NY | Agencies |
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 |
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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 | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265682595 | Jennifer Luleen Dolan | Day Training, Developmentally Disabled Services | 6005 Veterans Hwy, Hauppauge, NY 11788 | 2008-09-23 |
1427198886 | Metro Therapy | Day Training, Developmentally Disabled Services | 1363 Veterans Highway, Suite 8, Hauppauge, NY 11788 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754621 | Home Sweet Home Aba LLC | Day Training, Developmentally Disabled Services | 1404 Union St, Brooklyn, NY 11213-4336 | 2020-09-13 |
1841818986 | Modest Community Services Association | Day Training, Developmentally Disabled Services | 88 New Dorp Plz S Ste 202, Staten Island, NY 10306-2902 | 2020-07-06 |
1073133682 | Trac Autism Inc. | Day Training, Developmentally Disabled Services | 1155 Warburton Ave Apt 6e, Yonkers, NY 10701-1030 | 2020-04-23 |
1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
1164061628 | Ibero American Action Lueage, Inc. | Day Training, Developmentally Disabled Services | 817 East Main Street, Same, Rochester, NY 14605-5144 | 2020-01-02 |
1174167589 | Ryhans Center of Hope, Inc. | Day Training, Developmentally Disabled Services | 387 E Main St Ste 106, Bay Shore, NY 11706-8413 | 2019-10-30 |
1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
1679120638 | Justin Rigas | Day Training, Developmentally Disabled Services | 523 Montauk Hwy, East Moriches, NY 11940-1372 | 2019-08-23 |
1639722358 | Jewel Human Services, Inc | Day Training, Developmentally Disabled Services | 15231 134th Ave, Jamaica, NY 11434-3528 | 2019-07-22 |
1164996534 | Ranj Family of Services | Day Training, Developmentally Disabled Services | 25 Roman Acres Dr, Garnerville, NY 10923-1111 | 2019-01-18 |
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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.