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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INDEPENDENT GROUP HOME LIVING PROGRAM, INC. | 221 North Sunrise Service Rd., Manorville, Ny 11949 |
| Street Address |
917 RAINBOW COMMONS |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747 |
| 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 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.