1013804855 NPI number — HORSEMANSHIP FOR HEROES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013804855 NPI number — HORSEMANSHIP FOR HEROES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORSEMANSHIP FOR HEROES
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:
1013804855
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 MCCABE DR UNIT 18546
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89511-4122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-462-8445
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7850 KEVIN CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89511-7690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-462-8445
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOOPER
Authorized Official First Name:
KAROLYN
Authorized Official Middle Name:
IZEYL
Authorized Official Title or Position:
FOUNDER/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
775-462-8445

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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