OrganizationActive
Family Residences and Essential Enterprises
NPI 1316267040 · Nursing Facility/Intermediate Care Facility · Medford, NY
Provider details
- NPI number
- 1316267040
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Maggie Raabe, Director of Nursing(631) 273-1300
- License
- 416-909 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 Hagerman Ave Apt 3
Medford, NY 11763-2145
Phone: (631) 447-6464
Fax: (631) 776-8031
Street-level locationGet directions
Mailing address
35 Hagerman Ave Apt 3
Medford, NY 11763-2145
Registry dates
- Enumerated
- 2010-06-04
- Last updated
- 2010-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.