MEDICARE: HORIZEN MEDICAL CINCINNATI 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1780538280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZEN MEDICAL CINCINNATI LLC

Provider Business Mailing Address
First Line	:	5150 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2871
Country	:	US
Telephone Number	:	574-306-7779
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIM HORI
Credential	:
Telephone Number	:	574-306-7779

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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