Adec - Hawthorne in Goshen - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Adec - Hawthorne - NPI 1992929350
Adec - Hawthorne is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Goshen, Indiana. Adec - Hawthorne practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Adec - Hawthorne is 1992929350. The last update date is 2020-08-22.
Adec - Hawthorne's current location address is 403 Hawthorne Dr, Goshen, Indiana. You can contact this provider via phone number 5748487451 and fax number 5748485917. The mailing address for Adec - Hawthorne is 403 Hawthorne Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adec - Hawthorne |
|---|---|
| Address | 403 Hawthorne Dr, Goshen, Indiana |
| Phone Number | 5748487451 |
| Fax Number | 5748485917 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Shively M Paula |
| Telephone Number | 5748485474 |
NPI Number Detail
| NPI Number | 1992929350 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 403 Hawthorne Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465261211 |
| Phone Number | 5748487451 |
| Fax Number | 5748485917 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2670D0019JN0 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Adec - Hawthorne by the Centers for Medicare & Medicaid Services (CMS)?
The Adec - Hawthorne has been assigned the NPI (National Provider Identifier) 1992929350. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Adec - Hawthorne is physically located?
The Adec - Hawthorne is situated at the following address: 403 Hawthorne Dr, Goshen, IN 465261211.
What is Adec - Hawthorne's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Adec - Hawthorne is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
On what date did the Adec - Hawthorne receive the assignment of its 1992929350 from the Centers for Medicare & Medicaid Services?
The Adec - Hawthorne was issued its 1992929350 by the Centers for Medicare & Medicaid Services on 2007-04-13.
As of what date was the information regarding Adec - Hawthorne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adec - Hawthorne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.