Hawthorn Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAWTHORN MANOR INC

Practice address

321 Hawthorn Dr
West Bend, WI 53095-4738

Phone

(262) 338-3266

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Anita Jacqueline Becker

Title

President

Phone

(262) 338-3266

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346444627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HAWTHORN DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954738",
            "telephone_number": "262-338-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HAWTHORN DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954738",
            "telephone_number": "262-338-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-338-3266"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Harter
• George G Hartl, DDS, MS
• Anne Hase
• Michael Hatch
• Amy L Haug, PA
• Hayat Pharmacy 18 LLC (Hayat Pharmacy 18)
• Carl Haynes
• Margaret P Hays, PA
• Healthstat Health Center Serigraph Plant 1
• Healthstat on-Site Clinic/West Bend Schools

• Assisted Living Facility in West Bend, WI
• Providers in West Bend, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.