Provider Demographics
NPI:1003960782
Name:HORIZON HOME CARE
Entity Type:Organization
Organization Name:HORIZON HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-757-0377
Mailing Address - Street 1:3900 S WADSWORTH BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2210
Mailing Address - Country:US
Mailing Address - Phone:303-757-0377
Mailing Address - Fax:303-758-9887
Practice Address - Street 1:3900 S WADSWORTH BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2210
Practice Address - Country:US
Practice Address - Phone:303-757-0377
Practice Address - Fax:303-758-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07929862Medicaid