Hawthorne Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAWTHORNE HEALTHCARE LLC

Doing business as

Hawthorne Healthcare

Practice address

7505 Waters Ave
Unit C 7
Savannah, GA 31406-3825

Phone

(336) 655-5370

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Michael Headley

Title

Owner

Phone

(336) 655-5370

Specialties & licenses 2

Addresses

Other names 1

• Hawthorne Healthcare Doing business as

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1790151488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "UNIT C 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "336-655-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "UNIT C 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "336-655-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-655-5370"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorne Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Daniel Haupt, M.D.
• Sage Havrilla
• Ollette Felicia Hawkes, RN
• Desteny Hawkins
• Larrielle Y Hawkins
• Savannah Hayden
• Kayla Li Haydon
• Andrew Hayes
• Anna Hayes
• Beckie Strickland Hayes, P.A.-C

• Community/Behavioral Health Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.