Provider Demographics
NPI:1083925234
Name:HEALTH HORIZON HEALTHCARE. LLC
Entity Type:Organization
Organization Name:HEALTH HORIZON HEALTHCARE. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:REMYE
Authorized Official - Last Name:TALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-605-5801
Mailing Address - Street 1:6428 LANDING WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4619
Mailing Address - Country:US
Mailing Address - Phone:301-273-8845
Mailing Address - Fax:301-322-4104
Practice Address - Street 1:6428 LANDING WAY
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4619
Practice Address - Country:US
Practice Address - Phone:301-273-8845
Practice Address - Fax:301-322-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0184251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care