Active NPI
Hawthorn Glen Al Opco LLC
Doing business as Hawthorn Glen Care Community
- Assisted Living Facility
- Middletown, OH
National Provider Identifier
1821844911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HAWTHORN GLEN AL OPCO LLC
- Doing business as
- Hawthorn Glen Care Community
- Practice address
- 5414 Hankins Rd
Middletown, OH 45044-9782 - Phone
- (330) 620-7828
- NPI assigned
- Apr 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Degyansky
- Title
- VP of Operations
- Phone
- (330) 620-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5414 Hankins Rd
Middletown, OH 45044-9782
Mailing address
5910 Landerbrook Dr Ste 150
Mayfield Heights, OH 44124-6506
Other names 1
- Hawthorn Glen Care Community
National Provider Directory
National Provider DirectoryLocations
5910 Landerbrook Dr
Ste 150
Mayfield Heights, OH 44124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1821844911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 LANDERBROOK DR STE 150",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 HANKINS RD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450449782",
"telephone_number": "330-620-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWTHORN GLEN AL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-29",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "DEGYANSKY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "330-620-7828"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawthorn Glen Care Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, OH
- Brittany Jane Hasty, PTA
- Lynne C Hauser, PT
- Haven's Home Health LLC
- Sheila Ann Hawley, APN, GCNS-BC
- Marayna Haworth
- Hawthorn Glen SNF Opco LLC (Hawthorn Glen Care Community)
- Amanda Hayes
- Rachel Hayes
- HD Enterprise LLC (HD Life and Wellness Centers)
- Health Specialists of Dayton Inc (Premier Allergy and Asthma Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.