Maryhaven Center Of Hope Inc.

LBN: Maryhaven Center Of Hope Inc.
Maryhaven Center Of Hope Inc. is an health care organization with primary practice located at 1385 N Ocean Avenue , Medford NY 11763. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Maryhaven Center Of Hope Inc. can be contacted via phone (631) 289-6157, or through Pepper, Laura via phone (631) 474-4120.

Contact Information

Primary practice address
1385 N Ocean Avenue Medford NY 11763
Phone: (631) 289-6157
Fax: (631) 475-2477
Website:
Map and Directions
Authorized official contact:
Name: Pepper, Laura
Phone: (631) 474-4120

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 6639491 New York

Profile Details

NPI number 1225172521
LBN Legal business name Maryhaven Center Of Hope Inc.
DBA Doing business as
Authorized official Pepper, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated May 1st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225172521 NPPES
New York MEDICAID 01008171

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