Healthcare Provider Details

I. General information

NPI: 1750292207
Provider Name (Legal Business Name): HORIZON CORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9925 ARBOR MONTGOMERY LN
CINCINNATI OH
45249-8015
US

IV. Provider business mailing address

9925 ARBOR MONTGOMERY LN
CINCINNATI OH
45249-8015
US

V. Phone/Fax

Practice location:
  • Phone: 513-656-4468
  • Fax:
Mailing address:
  • Phone: 513-656-4468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: FARKHOD ALTIBAEV
Title or Position: OWNER
Credential:
Phone: 513-656-4468