Hawthorne House Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23104 Issued in MN

Legal business name

HAWTHORNE HOUSE INC

Practice address

6931 Country Club Dr
Golden Valley, MN 55427-4604

Phone

(612) 385-9200

Fax

(763) 205-1950

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susanthi Renuka Fernando, P.H.D

Title

Business Consultant

Phone

(612) 385-9200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1891976841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27482",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554270482",
            "telephone_number": "612-385-9200",
            "fax_number": "763-205-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 COUNTRY CLUB DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274604",
            "telephone_number": "612-385-9200",
            "fax_number": "763-205-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "SUSANTHI",
        "authorized_official_middle_name": "RENUKA",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "612-385-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "23104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora M. Haugen, OTR
• Emily Therese Haugland, DNP, FNP
• Cassandra Havenor, L.AC.
• Traci Rae-Deanne Hawkinson, CNP
• Hawthorne Family Services
• Mary Ann Hayes, PH.D.
• Hcri Sun III Tenant, LP (Sunrise Of Golden Valley)
• Healing Hands Home Care LLC
• Health Care Plus Inc. (Heartland Adult Day Care)
• Health West Chiropractic Center

• Assisted Living Facility in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.