Organization Active NPI

Mareitha's Place Heaven on Earth

  • Community/Behavioral Health Agency
  • Winchester, KY
National Provider Identifier
1982382396
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAREITHA'S PLACE HEAVEN ON EARTH
Practice address
104 W Broadway St
Winchester, KY 40391-1912
Phone
(859) 475-6355
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mareitha Warfield
Title
Owner
Phone
(859) 475-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 W Broadway St
Winchester, KY 40391-1912

Mailing address

104 W Broadway St
Winchester, KY 40391-1912
Phone (859) 475-6355

National Provider Directory

National Provider Directory

Locations

104 W Broadway St
Winchester, KY 40391
Phone (859) 385-4669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1982382396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W BROADWAY ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911912",
            "telephone_number": "859-475-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W BROADWAY ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911912",
            "telephone_number": "859-475-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREITHA'S PLACE HEAVEN ON EARTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "WARFIELD",
        "authorized_official_first_name": "MAREITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-475-6355"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.