MR. KENNETH WALLACE LANDEAU


Address: 120 Plant Ave, Hauppauge, NY 11788-3805
Phone: 6318513810

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 005537-1 NY Agencies

Office Location

Street Address 120 PLANT AVE
City HAUPPAUGE
State NY
Zip Code 11788-3805

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City HAUPPAUGE
Zip Code 11788

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Dataset Information

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.

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