Healthcare Provider Details

I. General information

NPI: 1407769151
Provider Name (Legal Business Name): HAWTHORNE FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BRADHURST AVENUE
HAWTHORNE NY
10532
US

IV. Provider business mailing address

5 BRADHURST AVENUE
HAWTHORNE NY
10532
US

V. Phone/Fax

Practice location:
  • Phone: 914-592-8526
  • Fax: 914-592-5321
Mailing address:
  • Phone: 914-592-8526
  • Fax: 914-592-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. GAIL NACHIMSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 914-592-8526