Maryhaven Center Of Hope Inc. in Port Jefferson Stati - Intermediate Care Facility, Intellectual Disabilities
Maryhaven Center Of Hope Inc. - NPI 1952446569
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 1952446569. The last update date is 2015-04-30.
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 | 5314744120 |
NPI Number Detail
| NPI Number | 1952446569 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2015-04-30 |
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 | 6639494 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1036259 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maryhaven Center Of Hope Inc. by the Centers for Medicare & Medicaid Services?
The Maryhaven Center Of Hope Inc. has been issued the NPI (National Provider Identifier) 1952446569, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Maryhaven Center Of Hope Inc.'s facilities are situated?
The facilities of Maryhaven Center Of Hope Inc. are physically located at the following address: 51 Terryville Road, Port Jefferson Stati, NY, 11776.
What is Maryhaven Center Of Hope Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maryhaven Center Of Hope Inc.'s specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952446569 to Maryhaven Center Of Hope Inc.?
The Maryhaven Center Of Hope Inc. received its 1952446569 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information regarding Maryhaven Center Of Hope Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maryhaven Center Of Hope Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-30.