Provider Demographics
NPI:1285683268
Name:HORIZON HOSPICE
Entity Type:Organization
Organization Name:HORIZON HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-689-9763
Mailing Address - Street 1:45 E FOLEY ST
Mailing Address - Street 2:B
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-3021
Mailing Address - Country:US
Mailing Address - Phone:019-689-9763
Mailing Address - Fax:
Practice Address - Street 1:45 E FOLEY ST
Practice Address - Street 2:B
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3021
Practice Address - Country:US
Practice Address - Phone:019-689-9763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4226251G00000X
OK9763251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371659Medicare ID - Type UnspecifiedHOSPICE
OK371665Medicare ID - Type UnspecifiedHOSPICE