=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710011952
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORIZON MANAGEMENT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2007
-----------------------------------------------------
Last Update Date | 05/02/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2247 MIDWAY RD
-----------------------------------------------------
City | SLAUGHTER
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70777-3023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-658-0951
-----------------------------------------------------
Fax | 225-658-0951
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2247 MIDWAY RD
-----------------------------------------------------
City | SLAUGHTER
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70777-3023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-658-0951
-----------------------------------------------------
Fax | 225-658-0951
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO, DIRECTOR
-----------------------------------------------------
Name | MR. CURTIS LEE SHEPHERD SR.
-----------------------------------------------------
Credential | M.S., M. ED
-----------------------------------------------------
Telephone | 225-658-0951
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------