Healthcare Provider Details

I. General information

NPI: 1972216828
Provider Name (Legal Business Name): HORTONS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 W 4TH ST
CINCINNATI OH
45202-2679
US

IV. Provider business mailing address

231 W 4TH ST APT A819
CINCINNATI OH
45202-2626
US

V. Phone/Fax

Practice location:
  • Phone: 702-348-7031
  • Fax:
Mailing address:
  • Phone: 513-328-1793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MIKEL D HORTON
Title or Position: CEO/DOO
Credential:
Phone: 702-348-7031