OrganizationActive
Independent Group Home Living Program, Inc
NPI 1740732999 · Nursing Facility/Intermediate Care Facility · Melville, NY
Provider details
- NPI number
- 1740732999
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Beth Lichtneger, Cfo(631) 878-8900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
924 Rainbow Commons
Melville, NY 11747
Phone: (631) 878-8900
Approximate (ZIP-level) locationGet directions
Mailing address
221 N Sunrise Service Rd
Manorville, NY 11949-9604
Registry dates
- Enumerated
- 2016-11-03
- Last updated
- 2016-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.