HAWTHORN HOUSE – NPI #1225443211
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

HAWTHORN HOUSE is a substance abuse rehabilitation facility located in WESTONS MILLS, NY. NPPES has assigned the NPI number 1225443211 to HAWTHORN HOUSE on June 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HAWTHORN HOUSE” is a dba name, the actual legal business name for this organization is COUNCIL ON ADDICTION RECOVERY SERVICES INC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Aug 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAWTHORN HOUSE below.

NPI Profile for
COUNCIL ON ADDICTION RECOVERY SERVICES INC

NPI Number
1225443211
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNCIL ON ADDICTION RECOVERY SERVICES INC
Doing Business As (dba): HAWTHORN HOUSE
Primary location
1351 OLEAN - PORTVILLE RD
WESTONS MILLS, NY 14788
Phone: (716) 373-0057 Fax: (716) 373-7910
Mailing address
201 S UNION ST
OLEAN, NY 14760-3646
Phone: (716) 373-4303 Fax: (716) 373-4327
Organization Subpart
Yes - HAWTHORN HOUSE is subpart of another organization.
Authorized Official
MICHAEL PRUTSMAN
EXECUTIVE DIRECTOR
Phone: (716) 373-4303
Updated
Certification Date
Aug 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HAWTHORN HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSNY000000816000
OTHERDUNS AND BRADSTREETNY170809255
OTHERNYS CHARITIES REGISTRATIONNY030770
OTHEROASAS38160
MEDICAIDNY00933817
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
NY 160310173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.