Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARYHAVEN CENTER OF HOPE INC.
Active
Organization
MARYHAVEN CENTER OF HOPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PEPPER (DIRECTOR OF FINANCE)
(531) 474-4120
Entity
Organization
Contact information
Practice address
298 LONG ISLAND AVENUE, HOLTSVILLE, NY 11742
(631) 758-8479
(631) 758-9811
Mailing address
51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY 11776
(631) 474-4120
(631) 474-1312
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6824421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02106421
—
NY
Enumeration date
02/19/2007
Last updated
04/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up