Independent Group Home Living in Manorville - Nursing Facility/intermediate Care Facility
Independent Group Home Living - NPI 1629241187
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 1629241187. 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 | C.E.O. |
|---|---|
| Authorized Official Name | Stockton W. Walter |
| Telephone Number | 6318788900 |
NPI Number Detail
| NPI Number | 1629241187 |
|---|---|
| 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 |
|---|---|---|---|
| 728890 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Independent Group Home Living?
The Independent Group Home Living has been issued the NPI (National Provider Identifier) 1629241187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Independent Group Home Living's facilities are situated?
The facilities of Independent Group Home Living are physically located at the following address: 221 N Sunrise Service Rd, Manorville, NY, 119499604.
What is Independent Group Home Living's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Independent Group Home Living is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.
On what date was the 1629241187 assigned to Independent Group Home Living?
The Independent Group Home Living was issued its 1629241187 on 2008-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Independent Group Home Living's details last updated?
The information pertaining to the Independent Group Home Living, including its address, specialty, and other details, was most recently updated on 2008-04-07.
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