INDEPENDENT GROUP HOME LIVING
NPI 1265605729
Nursing Facility/Intermediate Care Facility in Manorville, NY

Q: What is Independent Group Home Living's NPI number?

The NPI number for Independent Group Home Living is 1265605729. It was assigned to this organization in the NPPES registry on April 7, 2008.

Q: What is Independent Group Home Living's specialty?

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

Active since April 07, 2008

221 N SUNRISE SERVICE RD, MANORVILLE, NY 11949(631) 878-8900(631) 878-8201 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Independent Group Home Living NPPES

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

INDEPENDENT GROUP HOME LIVING (NPI 1265605729) is a healthcare organization registered as a nursing facility/intermediate care facility in Manorville, New York and active in the NPI registry since April 2008. The organization lists Walter W. Stockton, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1265605729

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameINDEPENDENT GROUP HOME LIVING

Location Address221 N SUNRISE SERVICE RDManorville, NY 11949-9604

Mailing Address221 N Sunrise Service RdManorville, NY 11949-9604 · (631) 878-8900 · Fax (631) 878-8201

Phone(631) 878-8900

Fax(631) 878-8201

Organization SubpartNo

Authorized OfficialWalter W. StocktonC.e.o. · (631) 878-8900

Enumeration DateApril 7, 2008

✔ NPI 1265605729 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.

221 N SUNRISE SERVICE RD, Manorville, NY 11949

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Other Identifiers 1

Medicaid01118785NY

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN VOTTELER P.T.

Physical Therapist