U C P a of Greater Suffolk
Intermediate care facility for individuals with intellectual disabilities in Lake Grove, NY, Medicare certification number 33G350.
Medicare certification
Provider of Services- CCN
- 33G350
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Dec 29, 1981
- Last certification
- Nov 13, 2025
- Beds
- 6
- Address
- 38 Cornelia Lane
Lake Grove, NY 11755
(631) 981-9810
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- Lake Grove, NY
- NPI 1235271149
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.