Maryhaven Center Of Hope Inc. in Port Jefferson Stati - Intermediate Care Facility, Intellectual Disabilities
Maryhaven Center Of Hope Inc. - NPI 1437294451
Maryhaven Center Of Hope Inc. is a Intermediate Care Facility, Intellectual Disabilities in Port Jefferson Stati, New York. Maryhaven Center Of Hope Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Maryhaven Center Of Hope Inc. is 1437294451. The last update date is 2015-05-01.
Maryhaven Center Of Hope Inc.'s current location address is 51 Terryville Road, Port Jefferson Stati, New York. You can contact this provider via phone number 6314744120 and fax number 6314741312. The mailing address for Maryhaven Center Of Hope Inc. is 51 Terryville Road, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryhaven Center Of Hope Inc. |
|---|---|
| Address | 51 Terryville Road, Port Jefferson Stati, New York |
| Phone Number | 6314744120 |
| Fax Number | 6314741312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Pepper Laura |
| Telephone Number | 6314744120 |
NPI Number Detail
| NPI Number | 1437294451 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2015-05-01 |
Provider Mailing Address Detail
| Address | 51 Terryville Road |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 11776 |
| Phone Number | 6314744120 |
| Fax Number | 6314741312 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 6639497 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1224473 | NY | -- |
Post Comment/ Review Below
What is the Maryhaven Center Of Hope Inc.'s 1437294451?
The Maryhaven Center Of Hope Inc.'s NPI (National Provider Identifier) Number is 1437294451. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Maryhaven Center Of Hope Inc. is geographically located?
The Maryhaven Center Of Hope Inc. is physically situated at the following location: 51 Terryville Road, Port Jefferson Stati, NY, 11776.
What is the Maryhaven Center Of Hope Inc.'s specialty and taxonomy code?
The Maryhaven Center Of Hope Inc.'s specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Maryhaven Center Of Hope Inc. receive its 1437294451 assignment from the Centers for Medicare & Medicaid Services?
The Maryhaven Center Of Hope Inc. was assigned its 1437294451 by the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information regarding Maryhaven Center Of Hope Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maryhaven Center Of Hope Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-01.