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INDEPENDENT GROUP HOME LIVING
NPI 1801069372
Intermediate Care Facility, Intellectual Disabilities in Speonk, NY

Active since April 07, 2008
114 N PHILLIPS AVE, SPEONK, NY 11972(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: July 26, 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 1801069372) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Speonk, 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

NPI1801069372
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameINDEPENDENT GROUP HOME LIVING
Location Address114 N PHILLIPS AVESpeonk, NY 11972
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 1801069372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
114 N PHILLIPS AVE, Speonk, NY 11972
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Other Identifiers 1

Medicaid00945455NY

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 1801069372. 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 114 N Phillips Ave, Speonk, NY 11972. 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 with the weekly NPPES data releases published by CMS.