INDEPENDENT GROUP HOME LIVING PROGRAM INC
NPI 1164885166
Nursing Facility/Intermediate Care Facility in Melville, NY

Active since March 29, 2016
908 MELVILLE ESTATES, MELVILLE, NY 11747(631) 878-8900(631) 878-8201 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Independent Group Home Living Program Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENT GROUP HOME LIVING PROGRAM INC (NPI 1164885166) is a healthcare organization registered as a nursing facility/intermediate care facility in Melville, New York and active in the NPI registry since March 2016. The organization lists Marybeth Licthneger, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164885166
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameINDEPENDENT GROUP HOME LIVING PROGRAM INC
Location Address908 MELVILLE ESTATESMelville, NY 11747
Mailing Address221 N Sunrise Service RdManorville, NY 11949-9604
Fax(631) 878-8201
Organization SubpartNo
Authorized OfficialMarybeth LicthnegerCfo · (631) 878-8900
Enumeration DateMarch 29, 2016
NPI 1164885166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

908 MELVILLE ESTATES, Melville, NY 11747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independent Group Home Living Program Inc's NPI number?

The NPI number for Independent Group Home Living Program Inc is 1164885166. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Independent Group Home Living Program Inc located?

Independent Group Home Living Program Inc is located at 908 Melville Estates, Melville, NY 11747. The listed phone number is (631) 878-8900.

What is Independent Group Home Living Program Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Independent Group Home Living Program Inc was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.