Provider Demographics
NPI:1093114902
Name:HORIZON ADULT DAY SERVICES LLC
Entity Type:Organization
Organization Name:HORIZON ADULT DAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-322-2763
Mailing Address - Street 1:1810 COUNTY LINE RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1720
Mailing Address - Country:US
Mailing Address - Phone:213-322-2763
Mailing Address - Fax:
Practice Address - Street 1:1810 COUNTY LINE RD
Practice Address - Street 2:SUITE 401
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1720
Practice Address - Country:US
Practice Address - Phone:213-322-2763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA285304251J00000X
311500000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251J00000XAgenciesNursing Care
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)