INDEPENDENT GROUP HOME LIVING PROGRAM, INC


Address: 917 Rainbow Commons, Melville, NY 11747
Phone: 6318788900

INDEPENDENT GROUP HOME LIVING PROGRAM, INC (NPI# 1932641867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932641867
Entity Type Organization
Organization Name INDEPENDENT GROUP HOME LIVING PROGRAM, INC
Practice Address 917 Rainbow Commons
Melville
NY 11747
Mailing Address 221 N Sunrise Service Rd
Manorville
NY 11949-9604
Practice Telephone 6318788900
Mailing Telephone 6318788900
Mailing Fax Number 6318788201
Enumeration Date 2016-11-09
Last Update Date 2016-12-09
Authorized Official Name MARY BETH LICHTNEGER (CFO)
Authorized Official Telephone 6318788900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations INDEPENDENT GROUP HOME LIVING PROGRAM, INC. 221 North Sunrise Service Rd., Manorville, Ny 11949

Office Location

Street Address 917 RAINBOW COMMONS
City MELVILLE
State NY
Zip Code 11747

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891316139 Shaina Flanzraich Physical Therapist 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 2020-04-28
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
1386178127 Marissa Zydor Specialist 538 Ny-110 #202, Melville, NY 11747 2017-04-19
1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
1245786862 Maria Vanegas Specialist 538 Broadhollow Rd Suite 202, Melville, NY 11747 2016-09-01
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy 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.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
1164885166 Independent Group Home Living Program Inc Nursing Facility/Intermediate Care Facility 908 Melville Estates, Melville, NY 11747 2016-03-29

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NPI Name Taxonomy Address Enumeration
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1013441328 Caring Hands Home Care Nursing Facility/Intermediate Care Facility 65 Cheryl Drive, Ronkonkoma, NY 11779 2017-04-13
1861944167 Sabine Valme Nursing Facility/Intermediate Care Facility 929 E 87th St, Brooklyn, NY 11236-3908 2016-11-03
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1417338005 Hotel Benefit Funds Nursing Facility/Intermediate Care Facility 625 Main St Apt 1432, New York, NY 10044-0036 2015-06-09
1245619121 Favorite Nursing Nursing Facility/Intermediate Care Facility 2040 Renfrew Ave, Elmont, NY 11003-2909 2015-05-25
1376937052 Joyce Marcy Nursing Facility/Intermediate Care Facility 100 Moore St, New Hyde Park, NY 11040-1341 2015-03-20
1538552260 Nicole Faulk Nursing Facility/Intermediate Care Facility 6031 Shoreham Dr, Lake View, NY 14085-9794 2015-03-04
1073910857 Kiah Mitchell Nursing Facility/Intermediate Care Facility 723 Caroline Ave, Valley Stream, NY 11580-1226 2014-11-22
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Competitor

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City MELVILLE
Zip Code 11747

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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