Independent Group Home Living in Manorville - Intermediate Care Facility, Intellectual Disabilities
Independent Group Home Living - NPI 1275706731
Independent Group Home Living is a Intermediate Care Facility, Intellectual Disabilities in Manorville, New York. Independent Group Home Living practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Independent Group Home Living is 1275706731. 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 | 1275706731 |
|---|---|
| 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 | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1060526 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Independent Group Home Living by the Centers for Medicare & Medicaid Services?
The Independent Group Home Living has been assigned the NPI (National Provider Identifier) 1275706731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 the Independent Group Home Living's specialty and taxonomy code?
The Independent Group Home Living's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
When did Independent Group Home Living receive its 1275706731 assignment?
The Independent Group Home Living was assigned its 1275706731 on 2008-04-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Independent Group Home Living last refreshed?
The information related to the Independent Group Home Living, including its address, specialty, and other relevant details, was last updated on 2008-04-07.
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