Independent Group Home Living Program, Inc
Intermediate care facility for individuals with intellectual disabilities in Speonk, NY, Medicare certification number 33G709.
Medicare certification
Provider of Services- CCN
- 33G709
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Mar 31, 1986
- Last certification
- Jan 16, 2025
- Beds
- 12
- Address
- 114 N Phillips Ave
Speonk, NY 11972
(631) 325-1495
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- Speonk, NY
- NPI 1801069372
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.