Provider Demographics
NPI:1093477135
Name:HORIZON HOSPICE SERVICES LLC
Entity Type:Organization
Organization Name:HORIZON HOSPICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-739-2290
Mailing Address - Street 1:23077 GREENFIELD RD STE 156
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3770
Mailing Address - Country:US
Mailing Address - Phone:248-572-3252
Mailing Address - Fax:313-731-1765
Practice Address - Street 1:23077 GREENFIELD RD STE 156
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3770
Practice Address - Country:US
Practice Address - Phone:248-572-3252
Practice Address - Fax:313-731-1765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based