Organization Active NPI

Hawthorn Glen Al Opco LLC

Doing business as Hawthorn Glen Care Community

  • Assisted Living Facility
  • Middletown, OH
National Provider Identifier
1821844911
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Dec 4, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.