Ministry for Hope, Inc. Montfort Therapeutic Residence

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

MINISTRY FOR HOPE, INC. MONTFORT THERAPEUTIC RESIDENCE

Practice address

100 Stonyhill Road
Port Jefferson, NY 11777

Phone

(631) 928-5223

Fax

(631) 928-4466

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Gerace, LCSW

Title

Program Director

Phone

(631) 928-5223

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ekta Kohli, LCSW

  • Clinical Social Worker
  • Port Jefferson, NY
  • NPI 1427614296
  NPD (past)
• Elefteria Kopanos, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1417411893
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1073097531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-5223",
            "fax_number": "631-928-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONYHILL ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-5223",
            "fax_number": "631-928-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINISTRY FOR HOPE, INC. MONTFORT THERAPEUTIC RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "GERACE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "631-928-5223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Rose Miller, LCSW
• Jan S Miller
• Kelly Miller, RN, CCRN
• Michael C.H. Miller, M.D.
• Mindful Med Management Inc
• Bradley Evan Minter, M.D.
• Karin Mirando, MA CCC-SLP, TSSLD
• Jiri Mladek, OD
• Mobilerad, Inc.
• Kara Mockler, PA-C

• Physical Disabilities Residential Treatment Facility in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Physical Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.