Provider Demographics
NPI:1033191325
Name:HEALTH HORIZONS INC
Entity Type:Organization
Organization Name:HEALTH HORIZONS INC
Other - Org Name:SOUTHEASTERN HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:C
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:III
Authorized Official - Credentials:CPA
Authorized Official - Phone:910-671-5090
Mailing Address - Street 1:2002 N CEDAR ST
Mailing Address - Street 2:STE A
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3926
Mailing Address - Country:US
Mailing Address - Phone:910-738-3560
Mailing Address - Fax:
Practice Address - Street 1:2002 N CEDAR ST
Practice Address - Street 2:STE A
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3926
Practice Address - Country:US
Practice Address - Phone:910-738-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00075332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408786Medicaid
NC3408786OtherMEDICAID LIFELINE
NC7700184Medicaid
NC3408786OtherMEDICAID LIFELINE
NC3408786Medicaid