HAWTHORNE HOUSE INC (NPI# 1891976841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891976841 |
| Entity Type | Organization |
| Organization Name | HAWTHORNE HOUSE INC |
| Practice Address |
6931 Country Club Dr Golden Valley MN 55427-4604 |
| Mailing Address |
Po Box 27482 Golden Valley MN 55427-0482 |
| Practice Telephone | 6123859200 |
| Practice Fax Number | 7632051950 |
| Mailing Telephone | 6123859200 |
| Mailing Fax Number | 7632051950 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | DR. SUSANTHI RENUKA FERNANDO (BUSINESS CONSULTANT) |
| Authorized Official Telephone | 6123859200 |
| Authorized Official Credential | P.H.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23104 | MN | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | HAWTHORNE HOUSE INC. | 404 Mill Street, Occoquan, Virginia 22125 |
| Street Address |
6931 COUNTRY CLUB DR |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346861 | Dorothy Brown | Assisted Living Facility | 3732 N Bibo Rd, Golden Valley, AZ 86413-8586 | 2016-02-17 |
| 1538526223 | Meadow Ridge Senior Living | Assisted Living Facility | 7475 Country Club Dr, Golden Valley, MN 55427-4622 | 2016-01-26 |
| 1083880272 | Assisted Living Concepts Inc | Assisted Living Facility | 7475 Country Club Drive, Golden Valley, MN 55427 | 2008-05-07 |
| 1235317975 | Sunrise Senior Manageament, Inc. | Assisted Living Facility | 4950 Olson Memorial Hwy, Golden Valley, MN 55422-5131 | 2008-02-05 |
| 1699830919 | Beulah K Kliment | Assisted Living Facility | 5080 Oatman Rd, Golden Valley, AZ 86413-7600 | 2006-12-27 |
| 1093882730 | La Bonne Vie, Inc. | Assisted Living Facility | 6443 Westchester Cir, Golden Valley, MN 55427-4966 | 2006-11-29 |
| 1013089911 | Golden Valley Residence | Assisted Living Facility | 1940 Major Dr N, Golden Valley, MN 55422-4155 | 2006-11-15 |
| 1962940262 | Maple Hill Senior Living, LLC Dba Meadow Ridge Home Care | Assisted Living Facility | 7475 Country Club Dr, Golden Valley, MN 55427-4622 | 2017-02-07 |
| 1003281973 | Home Care Professionals, Inc | Assisted Living Facility | 800 Boone Ave N, Golden Valley, MN 55427-4468 | 2015-12-03 |
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| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on HAWTHORNE HOUSE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.