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Contact Information

MARYHAVEN CENTER OF HOPE INC.
226 EASTPORT MANOR ROAD
MANORVILLE, NY11949
 Phone: 631-325-8532
 Fax: 631-325-2261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for MARYHAVEN CENTER OF HOPE INC.

NPI Number 1245374560
LBN Legal business name MARYHAVEN CENTER OF HOPE INC.
Authorized official LAURA PEPPER - (DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 05/01/2015 - About 11 years ago
Identifiers
NY License # 6639496
NY Medicaid 01101784
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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