Healthcare Provider Details

I. General information

NPI: 1083164057
Provider Name (Legal Business Name): HORIZON HEALTH CARE L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E HOLLAND AVE
SPOKANE WA
99218-1255
US

IV. Provider business mailing address

608 E HOLLAND AVE
SPOKANE WA
99218-1255
US

V. Phone/Fax

Practice location:
  • Phone: 509-489-4581
  • Fax: 509-482-0717
Mailing address:
  • Phone: 509-489-4581
  • Fax: 509-482-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. LOREN MICHAEL GUSKE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 509-489-4581