Healthcare Provider Details

I. General information

NPI: 1992875025
Provider Name (Legal Business Name): HORIZON HEALTHCARE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 STAFFORD UMBERGER RD
WYTHEVILLE VA
24382-4439
US

IV. Provider business mailing address

185 STAFFORD UMBERGER RD
WYTHEVILLE VA
24382-4439
US

V. Phone/Fax

Practice location:
  • Phone: 276-228-5940
  • Fax: 276-228-9292
Mailing address:
  • Phone: 276-228-5940
  • Fax: 276-228-9292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0201003165
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0000013211
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberM00559211
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number08170
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number0201003165
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number0000013211
License Number StateTN
# 7
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberM00559211
License Number StateWV
# 8
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number08170
License Number StateNC

VIII. Authorized Official

Name: DENNIS COUNTS
Title or Position: PRESIDENT
Credential:
Phone: 276-228-5940