MARYHAVEN CENTER OF HOPE INC.
NPI 1013051341
Intermediate Care Facility, Intellectual Disabilities in Holtsville, NY

Active since February 19, 2007
298 LONG ISLAND AVENUE, HOLTSVILLE, NY 11742(631) 758-8479(631) 758-9811 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About MARYHAVEN CENTER OF HOPE INC.

This page provides the complete NPI Profile along with additional information for Maryhaven Center Of Hope Inc., a provider established in Holtsville, New York operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1013051341 assigned on February 2007. The practitioner's primary taxonomy code is 315P00000X with license number 6824421 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Laura Pepper (Director Of Finance)

NPI
1013051341 Verify this NPI
Provider Name
MARYHAVEN CENTER OF HOPE INC.
Entity Type
Organization
Location Address
298 LONG ISLAND AVENUE HOLTSVILLE, NY 11742
Location Phone
(631) 758-8479
Location Fax
(631) 758-9811
Mailing Address
51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776
Mailing Phone
(631) 474-4120
Mailing Fax
(631) 474-1312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2007
Last Update Date
04-30-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
6824421
License State
NY
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURA PEPPER

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(531) 474-4120

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02106421MEDICAID (05)NY 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013051341, enumerated as an "organization" on February 19, 2007.

The provider is located at 298 LONG ISLAND AVENUE HOLTSVILLE, NY 11742 and the phone number is (631) 758-8479.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.