Independent Group Home Living in Manorville - Intermediate Care Facility, Intellectual Disabilities
Independent Group Home Living - NPI 1992978456
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 1992978456. 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 | 1992978456 |
|---|---|
| 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 |
|---|---|---|---|
| 575168 | 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) 1992978456 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 expertise and its corresponding taxonomy classification?
The Independent Group Home Living's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Independent Group Home Living receive its 1992978456 assignment from the Centers for Medicare & Medicaid Services?
The Independent Group Home Living was assigned its 1992978456 by the Centers for Medicare & Medicaid Services on 2008-04-07.
When was the information regarding Independent Group Home Living most recently updated?
The details pertaining to the Independent Group Home Living, including its address, specialty, and other relevant information, were last refreshed on 2008-04-07.