MEDICARE: JOEL C. HORNE & CO., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1093282782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL C. HORNE & CO., INC.

Provider Business Mailing Address
First Line	:	1122 N CORAL CANYON BLVD
Second Line	:
City	:	WASHINGTON
State	:	UT
Zip	:	84780-2517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1078 N CORAL CANYON BLVD
Second Line	:
City	:	WASHINGTON
State	:	UT
Zip	:	84780-2777
Country	:	US
Telephone Number	:	435-619-1909
Fax Number	:	435-627-0120

Authorized Official
Title or Position	:	OWNER
Name	:	SHAUNA HORNE
Credential	:
Telephone Number	:	435-619-1909

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	07/02/2025

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