Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryhaven Center of Hope Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1487799094

Maryhaven Center of Hope Inc is an Intellectual Disabilities Intermediate Care Facility in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Myrtle Avenue House C
Port Jefferson, NY 11777
Phone: (631) 474-3400
Fax: (631) 474-4181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 6639495 (NY)

Record details

NPI number1487799094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pepper — Director Of Finance · (531) 474-4120
NPI enumeratedFebruary 21, 2007
Last updated in NPPESApril 30, 2015
Mailing address51 Terryville Road, Port Jefferson Station, NY 11776

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