Provider Demographics
NPI:1346413796
Name:HORIZON HEALTH CENTER
Entity Type:Organization
Organization Name:HORIZON HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:RANDA
Authorized Official - Middle Name:MITCHEAL
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:973-454-2313
Mailing Address - Street 1:29 BENTLEY AVE
Mailing Address - Street 2:APT 106
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1937
Mailing Address - Country:US
Mailing Address - Phone:973-454-2313
Mailing Address - Fax:
Practice Address - Street 1:29 BENTLEY AVE
Practice Address - Street 2:APT 106
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1937
Practice Address - Country:US
Practice Address - Phone:973-454-2313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00045500314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility