Healthcare Provider Details

I. General information

NPI: 1710984596
Provider Name (Legal Business Name): HORIZON HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 BRICKYARD RD SUITE 1
CHIPLEY FL
32428-2467
US

IV. Provider business mailing address

1357 BRICKYARD RD SUITE 1
CHIPLEY FL
32428-2467
US

V. Phone/Fax

Practice location:
  • Phone: 850-638-4719
  • Fax: 850-638-8520
Mailing address:
  • Phone: 850-638-4719
  • Fax: 850-638-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number00869
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number236
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierR4628
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerOTHER THIRD PARTY
# 2
IdentifierR4628
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerHUMANA
# 3
IdentifierR4628
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerBCBS OF FLORIDA

VIII. Authorized Official

Name: MR. WILLIAM YATES
Title or Position: PRESIDENT
Credential:
Phone: 850-638-4719