Independent Group Home Living in Manorville - Intermediate Care Facility, Intellectual Disabilities
Independent Group Home Living - NPI 1629241195
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 1629241195. 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 | 1629241195 |
|---|---|
| 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 |
|---|---|---|---|
| 883876 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1629241195 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Independent Group Home Living is geographically located?
The Independent Group Home Living is physically situated at the following location: 221 N Sunrise Service Rd, Manorville, NY, 119499604.
What is Independent Group Home Living's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Independent Group Home Living is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
When did Independent Group Home Living receive its 1629241195 assignment?
The Independent Group Home Living was assigned its 1629241195 on 2008-04-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Independent Group Home Living most recently updated or revised?
The details related to Independent Group Home Living, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-07.