- Practice location
- 2580 County Highway 11, Hartwick, NY 13348-2101
- Phone
- 802-848-9455
- Fax
- —
- Last updated
- April 16, 2018
Maranatha Mission Home Network, INC is a healthcare organization based in Hartwick, NY. Maranatha Mission Home Network, INC practices in Hartwick, NY. The NPI Number for Maranatha Mission Home Network, INC is 1801383807 and holds a License No. 151.0126020 (VT). The current practice location address for Maranatha Mission Home Network, INC is 2580 County Highway 11, Hartwick, NY 13348-2101 and can be reached out via phone at 802-848-9455.
Provider Profile Details
- NPI Number
- 1801383807
- Provider Name
- Maranatha Mission Home Network, INC
- Provider Entity Type
- Organization
- Address
- 2580 County Highway 11, Hartwick, NY 13348-2101
- Phone Number
- 802-848-9455
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Organization Subpart
- No
- Authorized Official
- Kristin Sheperd, LADC · President · 802-848-9455
- Provider Enumeration Date
- April 16, 2018
- Last Update Date
- April 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2580 County Highway 11
Hartwick, NY 13348-2101 - City
- Hartwick
- State
- New York
- Zip
- 13348-2101
- Phone Number
- 802-848-9455
Provider Business Mailing Address Details
- Address
- Po Box 97
Richford, VT 05476-0097 - City
- Richford
- State
- VT
- Zip
- 05476-0097
License Information
- License Number
- 151.0126020
- License State
- VT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Hartwick, NY
View all Counselor, Addiction (Substance Use Disorder) providers in Hartwick →Frequently Asked Questions
What is the NPI number of Maranatha Mission Home Network, INC?
The NPI number of Maranatha Mission Home Network, INC is 1801383807. It was assigned on April 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Maranatha Mission Home Network, INC?
Maranatha Mission Home Network, INC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 151.0126020.
Where does Maranatha Mission Home Network, INC practice?
The practice location is 2580 County Highway 11, Hartwick, NY 13348-2101. The office can be reached at 802-848-9455 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801383807 directly on the NPPES registry website.