Hawthorne House

LBN: Freeport Convelsant Center
Hawthorne House is an health care organization with primary practice located at 6 Old County Rd , Freeport ME 04032-6231. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Freeport Convelsant Center can be contacted via phone (207) 865-4782, or through Pelkey, Wanda via phone (207) 874-2700.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2005 Maine

Profile Details

NPI number 1982839072
LBN Legal business name Freeport Convelsant Center
DBA Doing business as Hawthorne House
Authorized official Pelkey, Wanda
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 15 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 1982839072 NPPES
Maine MEDICAID 120030001

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