Organization Active NPI

Hawthorn House

  • Adult Care Home Facility
  • Merry Hill, NC
National Provider Identifier
1326284928
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL 008-025 Issued in NC
Legal business name
HAWTHORN HOUSE
Practice address
1025 Hwy 45 North
Merry Hill, NC 27957-9408
Phone
(252) 356-4141
NPI assigned
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Barbara Jean DavenportNPI 1861515918
Title
Owner
Phone
(252) 209-6986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL 008-025 NC Primary

Addresses

Primary practice location

1025 Hwy 45 North
Merry Hill, NC 27957-9408

Mailing address

1025 Hwy 45 North
Merry Hill, NC 27957
Phone (252) 356-4141

Other identifiers 1

IdentifierTypeStateIssuer
FCL-008-025OtherNCFAMILY CARE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Barbara Davenport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1326284928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HWY 45 NORTH",
            "city": "MERRY HILL",
            "state": "NC",
            "postal_code": "27957",
            "telephone_number": "252-356-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HWY 45 NORTH",
            "city": "MERRY HILL",
            "state": "NC",
            "postal_code": "279579408",
            "telephone_number": "252-356-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-209-6986"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL 008-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY CARE LICENSE NUMBER",
            "identifier": "FCL-008-025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merry Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.