Healthcare Provider Details

I. General information

NPI: 1689163271
Provider Name (Legal Business Name): HORIZON HEALTHCARE PROFESSIONALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PIDGEON HILL DR STE 309
STERLING VA
20165
US

IV. Provider business mailing address

6 PIDGEON HILL DR STE 309
STERLING VA
20165-6146
US

V. Phone/Fax

Practice location:
  • Phone: 703-260-6077
  • Fax: 703-940-0601
Mailing address:
  • Phone: 703-260-6077
  • Fax: 703-940-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number512096
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number512096
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number512096
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number512096
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number512096
License Number StateVA

VIII. Authorized Official

Name: MS. MARIA TERESA ITURRI
Title or Position: OWNER
Credential: RN
Phone: 703-260-6077