Mercy Haven Inc in Islip Terrace - Community Based Residential Treatment Facility, Mental Illness
Mercy Haven Inc - NPI 1285762716
Mercy Haven Inc is a Community Based Residential Treatment Facility, Mental Illness in Islip Terrace, New York. Mercy Haven Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Mercy Haven Inc is 1285762716. The last update date is 2020-08-22.
Mercy Haven Inc's current location address is 859 Connetquot Ave Ste 10, Islip Terrace, New York. You can contact this provider via phone number 6312778300 and fax number 6312778394. The mailing address for Mercy Haven Inc is 859 Connetquot Ave Ste 10, Islip Terrace, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercy Haven Inc |
|---|---|
| Address | 859 Connetquot Ave Ste 10, Islip Terrace, New York |
| Phone Number | 6312778300 |
| Fax Number | 6312778394 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Griffith Patricia |
| Credentials | D.MIN.,LMS |
| Telephone Number | 6312778300 |
NPI Number Detail
| NPI Number | 1285762716 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 859 Connetquot Ave Ste 10 |
|---|---|
| City | Islip Terrace |
| State | New York (NY) |
| Post Code | 117521400 |
| Phone Number | 6312778300 |
| Fax Number | 6312778394 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 1304012 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1304012 | NY | -- |
Post Comment/ Review Below
What is the Mercy Haven Inc's unique identification number?
The Mercy Haven Inc has been assigned the NPI (National Provider Identifier) Number 1285762716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mercy Haven Inc's facilities are situated?
The facilities of Mercy Haven Inc are physically located at the following address: 859 Connetquot Ave Ste 10, Islip Terrace, NY, 117521400.
What is the area of specialization for Mercy Haven Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mercy Haven Inc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did the Mercy Haven Inc receive the assignment of its 1285762716 from the Centers for Medicare & Medicaid Services?
The Mercy Haven Inc was issued its 1285762716 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information regarding Mercy Haven Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mercy Haven Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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