MEDICARE: HORIZONS HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083502173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	2620 W 25TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4729
Country	:	US
Telephone Number	:	903-948-1161
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 W 25TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4729
Country	:	US
Telephone Number	:	903-948-1161
Fax Number	:

Authorized Official
Title or Position	:	CO OWNER
Name	:	KYLE BOSTIC
Credential	:
Telephone Number	:	903-948-1161

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/30/2025

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