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NPI Code Detail

MEDICARE: HORIZON HOME HEALTH CARE AGENCY LLC

MEDICARE: HORIZON HOME HEALTH CARE AGENCY 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1649618281
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON HOME HEALTH CARE AGENCY LLC
Provider Business Mailing Address
First Line : 3035 W BROAD ST STE 102
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-279-2933
Fax Number :
Provider Business Practice Location Address
First Line : 3035 W BROAD ST # 102
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-279-2933
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : IBRAHIM OSMAN
Credential :
Telephone Number : 614-279-2933
Provider Enumeration Date : 06/05/2013
Last Update Date : 01/05/2016

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