Provider Demographics
NPI:1417565292
Name:HORIZON GROUP HOMES LLC
Entity Type:Organization
Organization Name:HORIZON GROUP HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MS
Authorized Official - First Name:ZOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-433-4145
Mailing Address - Street 1:8360 S HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2325
Mailing Address - Country:US
Mailing Address - Phone:480-433-4145
Mailing Address - Fax:480-302-7809
Practice Address - Street 1:378 E TROPICAL DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-5086
Practice Address - Country:US
Practice Address - Phone:480-433-4145
Practice Address - Fax:480-302-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility