MEDICARE: HORNBUCKLE FOUNDATION

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	175T00000X	Peer Specialist
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1942954102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORNBUCKLE FOUNDATION

Provider Business Mailing Address
First Line	:	10499 BRADFORD RD UNIT 104
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-6418
Country	:	US
Telephone Number	:	303-875-3742
Fax Number	:

Provider Business Practice Location Address
First Line	:	10499 BRADFORD RD UNIT 104
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-6418
Country	:	US
Telephone Number	:	720-634-5779
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	SARAH HORNBUCKLE
Credential	:	NCPRSS
Telephone Number	:	303-875-3742

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	02/06/2026

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Directions to “HORNBUCKLE FOUNDATION ” Practice Location

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