Provider Demographics
NPI:1417006347
Name:HORRIGAN ENTERPRISES, INC., QUARTZ HOUSE
Entity Type:Organization
Organization Name:HORRIGAN ENTERPRISES, INC., QUARTZ HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF ADMN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-484-5561
Mailing Address - Street 1:4340 FIG CIR
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-2840
Mailing Address - Country:US
Mailing Address - Phone:909-484-5561
Mailing Address - Fax:
Practice Address - Street 1:4340 FIG CIR
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-2840
Practice Address - Country:US
Practice Address - Phone:909-484-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities