Independent Group Home Living in Manorville - Nursing Facility/intermediate Care Facility
Independent Group Home Living - NPI 1366615825
Independent Group Home Living is a Nursing Facility/intermediate Care Facility in Manorville, New York. Independent Group Home Living practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Independent Group Home Living is 1366615825. The last update date is 2008-04-07.
Independent Group Home Living's current location address is 221 N Sunrise Service Rd, Manorville, New York. You can contact this provider via phone number 6318788900 and fax number 6318788201. The mailing address for Independent Group Home Living is 221 N Sunrise Service Rd, Manorville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independent Group Home Living |
|---|---|
| Address | 221 N Sunrise Service Rd, Manorville, New York |
| Phone Number | 6318788900 |
| Fax Number | 6318788201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Stockton W. Walter |
| Telephone Number | 6318788900 |
NPI Number Detail
| NPI Number | 1366615825 |
|---|---|
| Provider Enumeration Date | 2008-04-07 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 221 N Sunrise Service Rd |
|---|---|
| City | Manorville |
| State | New York (NY) |
| Post Code | 119499604 |
| Phone Number | 6318788900 |
| Fax Number | 6318788201 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1131319 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Independent Group Home Living by the Centers for Medicare & Medicaid Services?
The Independent Group Home Living has been issued the NPI (National Provider Identifier) 1366615825, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Independent Group Home Living?
The Independent Group Home Living is physically situated at 221 N Sunrise Service Rd, in the city of Manorville, state of NY, with the postal code 119499604.
What is the Independent Group Home Living's specialty and taxonomy code?
The Independent Group Home Living's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Independent Group Home Living receive its 1366615825 assignment from the Centers for Medicare & Medicaid Services?
The Independent Group Home Living was assigned its 1366615825 by the Centers for Medicare & Medicaid Services on 2008-04-07.
As of what date was the information pertaining to Independent Group Home Living, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Independent Group Home Living, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-07.
Address: 715 W 3rd St, Boone, IA
Address: Po Box 608, Weatherford, OK
Address: 1100 Mercer Avenue, Decatur, IN
Address: 207 State Ave, Glasgow, KY
Address: 9700 Mashburn Blvd, Oklahoma City, OK
Address: 305 S Palestine St, Athens, TX
Address: 350 Conway Dr, Kalispell, MT
Address: 162 Academy St, Presque Isle, ME
Address: 7150 Tampa Ave, Reseda, CA
Address: 2630 Old Anson Rd, Abilene, TX
Address: 18855 Victory Blvd, Reseda, CA
Address: 1022 Presidential Corridor East, Caldwell, TX
Address: 20 W Main St, Yarmouth, ME
Address: 300 Barr St, Canonsburg, PA
Address: 12 Court St, Keene, NH