Maryhaven, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

S1500460 Issued in OH

Legal business name

MARYHAVEN, INC.

Practice address

1251 W Broad St
Columbus, OH 43222-1359

Phone

(614) 274-1455

Fax

(614) 274-1433

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By 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

Mrs. Rose A Knorwood, BA

Title

Chief Information Officer

Phone

(614) 445-8131

Specialties & licenses 1

Addresses

Tax ID family

Maryhaven3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Maryhaven

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1083165633
  NPD tax ID
• Maryhaven Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1922368166
  NPD tax ID

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1821539586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131",
            "fax_number": "614-545-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221359",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYHAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "KNORWOOD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
        "authorized_official_telephone_number": "614-445-8131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S1500460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Muema
• Maryhaven
• Maryhaven
• Maryhaven Inc.
• Maryhaven Inc.
• Marys Loving Hands LLC
• Penny Rall Marzalik, APRN.CNM, PHD, IBCLC
• Audrey Catherine Marzec, PT, DPT
• Sarah Marzec, MD
• Anthony Marzett

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.