MEDICARE: HORIZONS ADULT DAY CARE 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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447892807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS ADULT DAY CARE INC.

Provider Business Mailing Address
First Line	:	4911 PARK ST N STE B
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2227
Country	:	US
Telephone Number	:	727-656-7424
Fax Number	:	813-492-2351

Provider Business Practice Location Address
First Line	:	4911 PARK ST N STE B
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2227
Country	:	US
Telephone Number	:	727-656-7424
Fax Number	:	813-492-2351

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANK ALAIN SUAREZ
Credential	:
Telephone Number	:	786-930-3013

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	10/16/2019

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