Healthcare Provider Details

I. General information

NPI: 1053293209
Provider Name (Legal Business Name): HORIZON HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 MONTEBELLO PKWY
CUMMING GA
30028-9137
US

IV. Provider business mailing address

2205 WALTON WAY
ROSWELL GA
30076-3489
US

V. Phone/Fax

Practice location:
  • Phone: 401-261-5545
  • Fax:
Mailing address:
  • Phone: 401-261-5545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA HARRIS
Title or Position: OWNER
Credential:
Phone: 401-261-5545