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HAWTHORNE INN SUPPORTIVE LIVING FACILITY NPI 1568669778


NPI Information

NPI: 1568669778
Provider Name: HAWTHORNE INN SUPPORTIVE LIVING FACILITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
136 N. SIXTH ST.
PRINCETON, IL
ZIP 61356
Phone: (815) 875-6600
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HAWTHORNE INN SUPPORTIVE LIVING FACILITY is an assisted living facility in Princeton, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HAWTHORNE INN SUPPORTIVE LIVING FACILITY NPI is 1568669778. The provider is registered as an organization entity type.

The provider's business location address is:

136 N. SIXTH ST.
PRINCETON, IL
ZIP 61356
Phone: (815) 875-6600
Fax: (815) 875-6005

The provider's authorized official is Kimberly Ann Woolley .
The authorized official title is Manager and has the following contact phone number (815) 875-6600.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility006ILLINOISYes

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: 5/5/2024

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