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HAWTHORNE SERVICES INCORPORATED NPI 1275684664


NPI Information

NPI: 1275684664
Provider Name: HAWTHORNE SERVICES INCORPORATED
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1510 S SLOCUMB ST
GOLDSBORO, NC
ZIP 27530
Phone: (919) 735-2158
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HAWTHORNE SERVICES INCORPORATED is a residential treatment facility, intellectual and/or developmental disabilities in Goldsboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HAWTHORNE SERVICES INCORPORATED NPI is 1275684664. The provider is registered as an organization entity type.

The provider's business location address is:

1510 S SLOCUMB ST
GOLDSBORO, NC
ZIP 27530-955
Phone: (919) 735-2158
Fax: (919) 288-3644

The provider's authorized official is Evelyn Lucinda Whitley .
The authorized official title is Adminitrator and has the following contact phone number (919) 735-2158.

The enumeration date for this NPI number is 1/14/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL096119NORTH CAROLINANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL096148NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18301062BMEDICAIDNORTH CAROLINA
23408681MEDICAIDNORTH CAROLINA
37804703MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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