1225157753 NPI number — HORIZON RECOVERY INC

Table of content: (NPI 1225157753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225157753 NPI number — HORIZON RECOVERY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON RECOVERY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225157753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1314 PATTON AVE STE F
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28806-2648
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-254-2820
Provider Business Mailing Address Fax Number:
828-254-2821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 7TH AVE EAST
Provider Second Line Business Practice Location Address:
A&B
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-692-8005
Provider Business Practice Location Address Fax Number:
828-692-8150
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COX
Authorized Official First Name:
JANET
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIR OF OPERATIONS HUMAN RESOURCES
Authorized Official Telephone Number:
828-254-2820

Provider Taxonomy Codes

  • Taxonomy code: 103TB0200X , with the licence number:  8301127A , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8301127A , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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