Independent Group Home Living in Manorville - Intermediate Care Facility, Intellectual Disabilities
Independent Group Home Living - NPI 1801069372
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 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 | 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 |
|---|---|---|---|
| 945455 | NY | -- |
Post Comment/ Review Below
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 Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
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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