Hawthorne House

LBN: Freeport Convalescent Center Inc
Hawthorne House is an health care organization with primary practice located at 6 Old County Rd , Freeport ME 04032-6231. The organization recently has 6 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Freeport Convalescent Center Inc can be contacted via phone (207) 865-4782, or through Bowden, Kenneth via phone (207) 874-2700.

Contact Information

Primary practice address
6 Old County Rd Freeport ME 04032-6231
Phone: (207) 865-4782
Fax: (207) 865-1308
Website:
Map and Directions
Authorized official contact:
Name: Bowden, Kenneth
Phone: (207) 874-2700

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2005 Maine
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 2005 Maine
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 2005 Maine
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2103 Maine
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 2103 Maine
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2005 Maine

Profile Details

NPI number 1427026657
LBN Legal business name Freeport Convalescent Center Inc
DBA Doing business as Hawthorne House
Authorized official Bowden, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 7th, 2013 - about 11 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 1427026657 NPPES
Maine MEDICAID 120030000
Maine MEDICAID 120030001
Maine MEDICAID 115110000

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