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THE HAWTHORNE INN
NPI 1730385246
Assisted Living Facility in Winter Haven, FL

Active since June 22, 2007CLIA 10D2030204 · Waiver
625 OVERLOOK DR, WINTER HAVEN, FL 33884(863) 324-2212(863) 318-8400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Hawthorne Inn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE HAWTHORNE INN (NPI 1730385246) is a healthcare organization registered as an assisted living facility in Winter Haven, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Mary Parrett, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1730385246
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFAMILY EXTENDED CARE OF WINTER HAVEN, INC.
Location Address625 OVERLOOK DRWinter Haven, FL 33884-1626
Mailing Address625 Overlook DrWinter Haven, FL 33884-1626 · (863) 324-2212 · Fax (863) 318-8400
Phone(863) 324-2212
Fax(863) 318-8400
Organization SubpartNo
Authorized OfficialMary ParrettDirector Of Operations · (941) 342-0566
Enumeration DateJune 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730385246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL8947
Definition
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.
625 OVERLOOK DR, Winter Haven, FL 33884
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Hawthorne Inn

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2030204

Family Extended Care Of Winter Haven · Winter Haven, FL
Active · expires Sep 22, 2027
CLIA Number10D2030204
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorTheresa A. Cook
Laboratory Phone(863) 324-2212
Laboratory LocationFamily Extended Care Of Winter Haven625 Overlook Dr, Winter Haven, FL 33884
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN HARWELL OTR
Occupational Therapist
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 229-5994
KIMBERLY SUE KETTINGER PTA
Physical Therapy Assistant
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 318-1315
ELLEN DANITA THOMAS OTA
Occupational Therapy Assistant
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 318-1315
WENDY JEANNE SANTIAGO PTA
Physical Therapy Assistant
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 318-1315
BEST CARE SENIOR LIVING AT CYPRESS GARDENS LLC
Assisted Living Facility
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 324-2212
MARY KRISTINA MATHIS M.A./CCC-SLP
Speech-Language Pathologist
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 318-1315
LESLEY MICHELLE O'BANNON OTRL
Occupational Therapist
625 OVERLOOK DR
WINTER HAVEN, FL 33884
Polk County (863) 318-1315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Extended Care Of Winter Haven, Inc.'s NPI number?

The NPI number for Family Extended Care Of Winter Haven, Inc. is 1730385246. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as The Hawthorne Inn.

Where is Family Extended Care Of Winter Haven, Inc. located?

Family Extended Care Of Winter Haven, Inc. is located at 625 Overlook Dr, Winter Haven, FL 33884. The listed phone number is (863) 324-2212.

What is Family Extended Care Of Winter Haven, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Family Extended Care Of Winter Haven, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2030204) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Extended Care Of Winter Haven, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.