Independent Group Home Living in Manorville - Nursing Facility/intermediate Care Facility

Independent Group Home Living - NPI 1801069372

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 1801069372. 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 1801069372
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
945455 NY --

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FAQs about Independent Group Home Living

What is the unique identifier code issued to Independent Group Home Living by the Centers for Medicare & Medicaid Services (CMS)?

The Independent Group Home Living has been assigned the NPI (National Provider Identifier) 1801069372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Independent Group Home Living's facilities are geographically located?

The facilities of Independent Group Home Living are physically situated at the following location: 221 N Sunrise Service Rd, Manorville, NY, 119499604.

What is Independent Group Home Living's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Independent Group Home Living's specialized field of practice is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of specialization is 313M00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801069372 to Independent Group Home Living?

The Centers for Medicare & Medicaid Services originally issued the 1801069372 to Independent Group Home Living on 2008-04-07.

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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