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INDEPENDENT GROUP HOME LIVING
NPI 1710150289
Intermediate Care Facility, Intellectual Disabilities in Eastport, NY

Active since April 07, 2008
240 OLD COUNTRY RD, EASTPORT, NY 11941(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.

About Independent Group Home Living NPPES

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

INDEPENDENT GROUP HOME LIVING (NPI 1710150289) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Eastport, 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

NPI1710150289
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameINDEPENDENT GROUP HOME LIVING
Location Address240 OLD COUNTRY RDEastport, NY 11941
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 1710150289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
240 OLD COUNTRY RD, Eastport, NY 11941
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Other Identifiers 1

Medicaid01224491NY

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's NPI number?

The NPI number for Independent Group Home Living is 1710150289. It was assigned to this organization in the NPPES registry on April 7, 2008.

Where is Independent Group Home Living located?

Independent Group Home Living is located at 240 Old Country Rd, Eastport, NY 11941. The listed phone number is (631) 878-8900.

What is Independent Group Home Living's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Independent Group Home Living was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.