Healthcare Provider Details

I. General information

NPI: 1851215560
Provider Name (Legal Business Name): HORIZONS MEDICAL SUPPLIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 RESEARCH DR STE 138
CHARLOTTE NC
28262-8585
US

IV. Provider business mailing address

9700 RESEARCH DR STE 138
CHARLOTTE NC
28262-8585
US

V. Phone/Fax

Practice location:
  • Phone: 336-358-6182
  • Fax: 888-323-4404
Mailing address:
  • Phone: 336-358-6182
  • Fax: 888-323-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: KEISHA GRANT
Title or Position: OWNER
Credential:
Phone: 336-358-6182