Independent Group Home Living
LBN: Independent Group Home Living
Independent Group Home Living is an health care organization with primary practice located at 120 Frowein Rd , East Moriches NY 11940. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty.
Independent Group Home Living can be contacted via phone (631) 878-8900, or through Stockton, Walter W. via phone (631) 878-8900.
Contact Information
Primary practice address
120 Frowein Rd
East Moriches NY 11940
Phone: (631) 878-8900
Fax: (631) 878-8201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | ||
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X |
Profile Details
| NPI number | 1356514814 |
|---|---|
| LBN Legal business name | Independent Group Home Living |
| DBA Doing business as | |
| Authorized official | Stockton, Walter W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2008 |
| Last updated | Apr 7th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356514814 | NPPES |
| New York | MEDICAID | 00883894 |
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