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Independent Group Home Living
Intellectual Disabilities Intermediate Care Facility in Speonk, New York
NPI 1801069372

Independent Group Home Living is a Intellectual Disabilities Intermediate Care Facility based in Manorville, NY. Independent Group Home Living practices in Speonk, NY. The NPI Number for Independent Group Home Living is 1801069372 and holds a License No. (New York).

The current practice location address for Independent Group Home Living is 114 N Phillips Ave, Speonk, NY and can be reached out via phone at 631-878-8900 and via fax at 631-878-8201.

Location: 114 N Phillips Ave, Speonk, NY, 11949-9604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801069372
Provider Name
Independent Group Home Living
Credential
Provider Entity Type
Organization
Address
114 N Phillips Ave, Speonk, NY, 11949-9604
Phone Number
631-878-8900
Fax Number
631-878-8201
Provider Enumeration Date
04/07/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00945455 05 NY
institution
Provider Business Practice Location Address Details
Address
114 N Phillips Ave
City
Speonk
State
New York
Zip
11972
Phone Number
631-878-8900
Fax Number
631-878-8201
person
Provider Business Mailing Address Details
Address
114 N Phillips Ave
City
Speonk
State
New York
Zip
11972
Phone Number
631-878-8900
Fax Number
631-878-8201
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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