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MARYHAVEN CENTER OF HOPE INC.
NPI 1952446569
Intermediate Care Facility, Intellectual Disabilities in Port Jefferson, NY

Active since February 21, 2007
450 MYRTLE AVENUE, HOUSE B, PORT JEFFERSON, NY 11777(631) 474-3400(631) 474-4181 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryhaven Center Of Hope Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYHAVEN CENTER OF HOPE INC. (NPI 1952446569) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Port Jefferson, New York and active in the NPI registry since February 2007. The organization lists Laura Pepper, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1952446569
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMARYHAVEN CENTER OF HOPE INC.
Location Address450 MYRTLE AVENUE, HOUSE BPort Jefferson, NY 11777
Mailing Address51 Terryville RoadPort Jefferson Station, NY 11776 · (631) 474-4120 · Fax (631) 474-1312
Phone(631) 474-3400
Fax(631) 474-4181
Organization SubpartNo
Authorized OfficialLaura PepperDirector Of Finance · (531) 474-4120
Enumeration DateFebruary 21, 2007
Last NPPES UpdateApril 30, 2015
✔ NPI 1952446569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NY · 6639494
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
450 MYRTLE AVENUE, Port Jefferson, NY 11777
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Other Identifiers 1

Medicaid01036259NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYHAVEN CENTER OF HOPE INC.
Intermediate Care Facility, Intellectual Disabilities
450 MYRTLE AVENUE, HOUSE 1
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-6186
MARYHAVEN CENTER OF HOPE INC.
Intermediate Care Facility, Intellectual Disabilities
450 MYRTLE AVENUE, HOUSE C
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-3400
MARYHAVEN CENTER OF HOPE INC.
Intermediate Care Facility, Intellectual Disabilities
450 MYRTLE AVENUE, HOUSE A
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryhaven Center Of Hope Inc.'s NPI number?

The NPI number for Maryhaven Center Of Hope Inc. is 1952446569. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Maryhaven Center Of Hope Inc. located?

Maryhaven Center Of Hope Inc. is located at 450 Myrtle Avenue House B, Port Jefferson, NY 11777. The listed phone number is (631) 474-3400.

What is Maryhaven Center Of Hope Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Maryhaven Center Of Hope Inc. was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.