MEDICARE: HORIZON CARE LEASING, 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	310400000X	Assisted Living Facility
2	314000000X	Skilled Nursing Facility	1604N	OH

General Provider Information

NPI Number	:	1730673674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON CARE LEASING, LLC

Provider Business Mailing Address
First Line	:	29225 CHAGRIN BLVD STE 230
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44122-4632
Country	:	US
Telephone Number	:	216-367-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	865 E IRON AVE
Second Line	:
City	:	DOVER
State	:	OH
Zip	:	44622-2099
Country	:	US
Telephone Number	:	330-343-5521
Fax Number	:	330-343-5526

Authorized Official
Title or Position	:	MANAGER
Name	:	ELI M GUNZBURG
Credential	:
Telephone Number	:	216-367-1214

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/14/2018

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