Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independent Group Home Living

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1710150289

Independent Group Home Living is an Intellectual Disabilities Intermediate Care Facility in Eastport, New York. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

240 Old Country Rd
Eastport, NY 11941
Phone: (631) 878-8900
Fax: (631) 878-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1710150289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Stockton — C.E.O. · (631) 878-8900
NPI enumeratedApril 7, 2008
Last updated in NPPESApril 7, 2008
Mailing address221 N Sunrise Service Rd, Manorville, NY 11949-9604