Provider Demographics
NPI:1659825495
Name:HAWKINS HEALTH CARE
Entity Type:Organization
Organization Name:HAWKINS HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:CAREL
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-835-9333
Mailing Address - Street 1:1403 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1907
Mailing Address - Country:US
Mailing Address - Phone:513-835-9333
Mailing Address - Fax:
Practice Address - Street 1:1403 ADAMS ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1907
Practice Address - Country:US
Practice Address - Phone:513-835-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN 145014 M-IV310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility