OrganizationActive
Independent Group Home Living
NPI 1992978456 · Intellectual Disabilities Intermediate Care Facility · Nesconset, NY
Provider details
- NPI number
- 1992978456
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Stockton, C.e.o.(631) 878-8900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 a Gibbs Pond Rd
Nesconset, NY 11767
Phone: (631) 878-8900
Fax: (631) 878-8201
Street-level locationGet directions
Mailing address
221 N Sunrise Service Rd
Manorville, NY 11949-9604
Registry dates
- Enumerated
- 2008-04-07
- Last updated
- 2008-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.