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Independent Group Home Living

Intellectual Disabilities Intermediate Care Facility in Speonk, NY · enumerated 2008 · authorized official Walter Stockton, C.E.O..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801069372

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Registry record

Entity type Organization (Type 2)
Legal business name Independent Group Home Living
Practice address 114 N Phillips Ave, Speonk, NY, 11972
Phone (631) 878-8900
Fax (631) 878-8201
Enumeration date Apr 7, 2008
Last updated in NPPES Apr 7, 2008

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Walter Stockton
Title C.E.O.
Phone (631) 878-8900

Other identifiers

Identifier Type State Issuer
00945455 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Independent Group Home Living?
The NPI for Independent Group Home Living is 1801069372, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Independent Group Home Living?
NPPES lists Walter Stockton (C.E.O.) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-07.