Healthcare Provider Details

I. General information

NPI: 1043215395
Provider Name (Legal Business Name): HORIZON HOME HEALTH & HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N LINDER RD
MERIDIAN ID
83642-8501
US

IV. Provider business mailing address

900 N LINDER RD
MERIDIAN ID
83642-8501
US

V. Phone/Fax

Practice location:
  • Phone: 208-888-7877
  • Fax: 208-888-7987
Mailing address:
  • Phone: 208-888-7877
  • Fax: 208-888-7987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHH-139
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberN/A
License Number StateID

VIII. Authorized Official

Name: MS. MARCELLA L LITTLE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 208-888-7877