MEDICARE: HORIZON HOSPICE LLC

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	251G00000X	Community Based Hospice Care Agency	Z85154	UT

General Provider Information

NPI Number	:	1144201203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON HOSPICE LLC

Provider Business Mailing Address
First Line	:	380 N 1550 E
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84040-4539
Country	:	US
Telephone Number	:	801-546-4368
Fax Number	:	801-546-1053

Provider Business Practice Location Address
First Line	:	1133 N MAIN ST
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-4800
Country	:	US
Telephone Number	:	801-546-4368
Fax Number	:	801-546-1053

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAIVD L PREECE
Credential	:
Telephone Number	:	801-546-4368

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	08/22/2020

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