Healthcare Provider Details

I. General information

NPI: 1770410953
Provider Name (Legal Business Name): HORIZONS RESIDENTIAL CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 HORIZONS LN
RURAL HALL NC
27045-9819
US

IV. Provider business mailing address

103 HORIZONS LN
RURAL HALL NC
27045-9819
US

V. Phone/Fax

Practice location:
  • Phone: 336-816-0013
  • Fax: 336-661-2185
Mailing address:
  • Phone: 336-816-0013
  • Fax: 336-816-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A ANDERSON
Title or Position: PRESIDENT &CEO
Credential:
Phone: 336-816-0013