Healthcare Provider Details

I. General information

NPI: 1780687327
Provider Name (Legal Business Name): HORIZON HOME CARE & HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11002 W PARK PL
MILWAUKEE WI
53224-3615
US

IV. Provider business mailing address

11002 W PARK PL
MILWAUKEE WI
53224-3615
US

V. Phone/Fax

Practice location:
  • Phone: 414-365-8300
  • Fax: 414-365-8328
Mailing address:
  • Phone: 414-365-8300
  • Fax: 414-365-8328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number150
License Number StateWI

VIII. Authorized Official

Name: VICKI DIANE MEYER
Title or Position: SR VP/CFO
Credential: CPA
Phone: 414-586-6245