Hawthorn House

LBN: Council On Addiction Recovery Services Inc
Hawthorn House is an health care organization with primary practice located at 1351 Olean - Portville Rd , Westons Mills NY 14788. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Council On Addiction Recovery Services Inc can be contacted via phone (716) 373-0057, or through Prutsman, Michael H via phone (716) 373-4303.

Contact Information

Primary practice address
1351 Olean - Portville Rd Westons Mills NY 14788
Fax: (716) 373-7910
Website:
Authorized official contact:
Name: Prutsman, Michael H CPP, MA

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 160310173 New York

Profile Details

NPI number 1225443211
LBN Legal business name Council On Addiction Recovery Services Inc
DBA Doing business as Hawthorn House
Authorized official Prutsman, Michael H CPP, MA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2014
Last updated Aug 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225443211 NPPES
New York MEDICAID 00933817
New York Other 000000816000
New York Other 170809255
New York Other 38160
New York Other 030770

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