1780687327 NPI number — HORIZON HOME CARE & HOSPICE, INC.

Table of content: (NPI 1780687327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780687327 NPI number — HORIZON HOME CARE & HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON HOME CARE & HOSPICE, 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:
1780687327
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11002 W PARK PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILWAUKEE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53224-3615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-365-8300
Provider Business Mailing Address Fax Number:
414-365-8328

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11002 W PARK PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53224-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-365-8300
Provider Business Practice Location Address Fax Number:
414-365-8328
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MEYER
Authorized Official First Name:
VICKI
Authorized Official Middle Name:
DIANE
Authorized Official Title or Position:
SR VP/CFO
Authorized Official Telephone Number:
414-586-6245

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  150 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251G00000X , with the licence number: 150 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 41523400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 43183400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3911712598A . This is a "HCM HOMECARE & HOSPICE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 81007 . This is a "WPS HOSPICE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 82963 . This is a "WPS HOME CARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".




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