NPIMap

Organization Active NPI

Freeport Convalescent Center Inc

Doing business as Hawthorne House

  • Skilled Nursing Facility
  • Freeport, ME
National Provider Identifier
1427026657
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2005 Issued in ME
Legal business name
FREEPORT CONVALESCENT CENTER INC
Doing business as
Hawthorne House
Practice address
6 Old County Rd
Freeport, ME 04032-6231
Phone
(207) 865-4782
Fax
(207) 865-1308
NPI assigned
Mar 14, 2006
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Kenneth Bowden
Title
Ceo
Phone
(207) 874-2700

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2005 ME
Physical Therapy Clinic/Center 261QP2000X 2005 ME
Occupational Medicine Clinic/Center 261QX0100X 2005 ME
Assisted Living Facility 310400000X 2103 ME
Mental Illness Intermediate Care Facility 310500000X 2103 ME
Skilled Nursing Facility 314000000X 2005 ME Primary

Addresses

Primary practice location

6 Old County Rd
Freeport, ME 04032-6231

Mailing address

6 Old County Rd
Freeport, ME 04032-6231
Phone (207) 865-4782

Other identifiers 3

IdentifierTypeStateIssuer
120030001MedicaidME
115110000MedicaidME
120030000MedicaidME

Other names 1

  • Hawthorne House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000113 ME Part A Provider - Skilled Nursing Facility 7517109077 1 other NPI on this enrollment
Practice locations: Freeport, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427026657. Details of each certification follow.

Skilled nursing facility certification: CCN 205098

Legal name
FREEPORT CONVALESCENT CENTER INC
Doing business as
HAWTHORNE HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
May 1, 2025
Beds
83
Ownership / control type
Corporation
Multi-facility organization
First atlantic Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 30, 1988 in ME
Enrollment address
6 Old County Road
Hawthorne House
Freeport, ME 04032
Nursing home name
HAWTHORNE HOUSE
Affiliated entity
FIRST ATLANTIC HEALTHCARE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hawthorne HouseCCN 205098 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8368.7 residents per day on average
Chain
First Atlantic Healthcare10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Freeport Convalescent Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christine Riendeau Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Craig G Coffin Individual 5% Or Greater Indirect Ownership Interest May 31, 2024 100%
Adp of the SNF May 31, 2024
First Atlantic Healthcare Inc Organization, South Portland, ME Corporation, Chain home office Operational/Managerial Control Jan 1, 1993
Adp of the SNF Mar 31, 2025
Kimberly Bernard Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Andrea Otis-Higgins Individual Corporate OfficerCoo May 11, 2015 100%
Operational/Managerial Control May 11, 2015
Adp of the SNF May 11, 2015
Julia M Redding Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Faraday Holdings LLC Organization, S Portland, ME LLC 5% Or Greater Direct Ownership Interest May 31, 2024 100%
Adp of the SNF May 31, 2024
Ashleyanne Zeoli Individual Operational/Managerial Control Dec 6, 2024
Adp of the SNF Apr 1, 2024
Wanda Pelkey Individual Corporate OfficerCeo Oct 1, 2024 100%
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1427026657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD COUNTY RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326231",
            "telephone_number": "207-865-4782",
            "fax_number": "207-865-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD COUNTY RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326231",
            "telephone_number": "207-865-4782",
            "fax_number": "207-865-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-874-2700"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "2005",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "2005",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "ME",
            "license": "2005",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "2103",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "ME",
            "license": "2103",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120030001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115110000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120030000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorne House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, ME

Sources for this page

Verify at the official NPI Registry.