Provider Demographics
NPI:1043690746
Name:HORIZON HOSPICE LLC
Entity Type:Organization
Organization Name:HORIZON HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:ERCANBRACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-768-1531
Mailing Address - Street 1:2701 MACARTHUR BLVD
Mailing Address - Street 2:APT. 509
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3108
Mailing Address - Country:US
Mailing Address - Phone:972-768-1531
Mailing Address - Fax:
Practice Address - Street 1:175 LAKE PARK RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-2303
Practice Address - Country:US
Practice Address - Phone:972-768-1531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based