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NPI Code Detail

MEDICARE: HORIZON HOME CARE, INC.

MEDICARE: HORIZON HOME CARE, INC.
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 Agency980001337CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HHA08085FOTHERCAMEDI-CAL

General Provider Information

NPI Number : 1851363386
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON HOME CARE, INC.
Provider Business Mailing Address
First Line : 2140 W OLYMPIC BLVD
Second Line : SUITE 534
City : LOS ANGELES
State : CA
Zip : 90006-2207
Country : US
Telephone Number : 213-365-9055
Fax Number : 213-365-9056
Provider Business Practice Location Address
First Line : 2140 W OLYMPIC BLVD
Second Line : SUITE 534
City : LOS ANGELES
State : CA
Zip : 90006-2207
Country : US
Telephone Number : 213-365-9055
Fax Number : 213-365-9056
Authorized Official
Title or Position : PRESIDENT
Name : ZAKARIA T BOSHRA
Credential :
Telephone Number : 213-365-9055
Provider Enumeration Date : 02/07/2006
Last Update Date : 11/19/2008

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Directions to “HORIZON HOME CARE, INC. ” Practice Location

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