Provider Demographics
NPI:1598751489
Name:P R HORTON RPH, INC
Entity Type:Organization
Organization Name:P R HORTON RPH, INC
Other - Org Name:CONTINUE CARE HOME INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:712-224-2845
Mailing Address - Street 1:2609 APACHE CT
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-1504
Mailing Address - Country:US
Mailing Address - Phone:712-224-2845
Mailing Address - Fax:712-224-2846
Practice Address - Street 1:2609 APACHE CT
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-1504
Practice Address - Country:US
Practice Address - Phone:712-224-2845
Practice Address - Fax:712-224-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA59251F00000X, 332BP3500X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD8534140Medicaid
IA0208330Medicaid
1620613OtherNCPDP NO.
SD9167250Medicaid
SD9167250Medicaid
IA0208330Medicaid