Healthcare Provider Details

I. General information

NPI: 1992900864
Provider Name (Legal Business Name): HORIZON HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 E 32ND ST
SILVER CITY NM
88061-7229
US

IV. Provider business mailing address

1260 E 32ND ST
SILVER CITY NM
88061-7229
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-1801
  • Fax: 575-388-2742
Mailing address:
  • Phone: 575-388-1801
  • Fax: 575-388-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03-097211-00-6
License Number StateNM

VIII. Authorized Official

Name: YVETTE GABRIELLE ROMERO
Title or Position: OWNER-ADMINISTRATOR
Credential: R.N.
Phone: 575-388-1801