Freeport Convalscent Center

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

2005 Issued in ME

Legal business name

FREEPORT CONVALSCENT CENTER

Doing business as

Hawthorne House

Practice address

6 Old County Rd
Freeport, ME 04032-6231

Phone

(207) 865-4782

NPI assigned

May 19, 2009

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Pelkey

Title

Cfo

Phone

(207) 874-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hawthorne House Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871728964. Details of each certification follow.

• CCN 205098 Skilled nursing facility · Active · Details

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.

• Freeport Convalescent Center Inc

  dba Hawthorne House

  • Skilled Nursing Facility
  • Freeport, ME
  • NPI 1427026657

  O20130813000113

  Same enrollment

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.

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.

• Freeport Convalescent Center Inc

  dba Hawthorne House

  • Skilled Nursing Facility
  • Freeport, ME
  • NPI 1427026657
  NPD tax ID
• Freeport Convelsant Center

  dba Hawthorne House

  • Assisted Living Facility
  • Freeport, ME
  • NPI 1982839072
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Julia M Redding, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1932367034

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Julia M Redding, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1932367034
  NPD (past)

Affiliated clinicians 1

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

• Julia M Redding, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1932367034

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1871728964",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT CONVALSCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-874-2700"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "ME",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115110000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorne House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Fitzgerald
• Julie Fournier, LMSW-CC
• Justine Nicole Fraser
• Freeport Cardiology, LLC
• Freeport Convalescent Center Inc (Hawthorne House)
• Freeport Convelsant Center (Hawthorne House)
• Freeport Dental Associates, P.C.
• Freeport Integrated Health Center, P.a.
• Freeport Medical Center PA
• Freeport Nursing Home, Inc

• Mental Illness Intermediate Care Facility in Freeport, ME
• Providers in Freeport, ME by specialty
• Mental Illness Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.