Hawthorne Inn at Windmill Pointe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0111 Issued in IA

Legal business name

HAWTHORNE INN AT WINDMILL POINTE

Practice address

1500 1St Avenue North
Coralville, IA 52241

Phone

(319) 337-6320

Fax

(319) 337-3099

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keith E Frink

Title

Manager

Phone

(319) 337-6320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1689896292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVENUE NORTH",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-337-6320",
            "fax_number": "319-337-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVENUE NORTH",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-337-6320",
            "fax_number": "319-337-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE INN AT WINDMILL POINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FRINK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-337-6320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493700",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mallory Janene McKay Heath, ARNP

• Assisted Living Facility in Coralville, IA
• Providers in Coralville, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.