Healthcare Provider Details

I. General information

NPI: 1508298639
Provider Name (Legal Business Name): HORIZONS HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 09/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 W BUENA VISTA RD SUITE 202
EVANSVILLE IN
47710-5191
US

IV. Provider business mailing address

1202 W BUENA VISTA RD SUITE 202
EVANSVILLE IN
47710-5191
US

V. Phone/Fax

Practice location:
  • Phone: 812-429-0721
  • Fax: 812-429-1530
Mailing address:
  • Phone: 812-429-0721
  • Fax: 812-429-1530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number13-013257-1
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number13-013257-1
License Number StateIN

VIII. Authorized Official

Name: MARK AMBROSE
Title or Position: CFO/ASSISTANT SECRETARY
Credential:
Phone: 812-429-1845