=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780687327
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORIZON HOME CARE & HOSPICE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2005
-----------------------------------------------------
Last Update Date | 12/06/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11002 W PARK PL
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53224-3615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-365-8300
-----------------------------------------------------
Fax | 414-365-8328
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11002 W PARK PL
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53224-3615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-365-8300
-----------------------------------------------------
Fax | 414-365-8328
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR VP/CFO
-----------------------------------------------------
Name | VICKI DIANE MEYER
-----------------------------------------------------
Credential | CPA
-----------------------------------------------------
Telephone | 414-586-6245
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number | 150
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 150
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------