Provider Demographics
NPI:1609265727
Name:GREATER HORIZON HEALTHCARE LLC
Entity Type:Organization
Organization Name:GREATER HORIZON HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTHVA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-288-3333
Mailing Address - Street 1:413 NEPONSET AVE
Mailing Address - Street 2:#3
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-3131
Mailing Address - Country:US
Mailing Address - Phone:617-288-3333
Mailing Address - Fax:617-288-5555
Practice Address - Street 1:413 NEPONSET AVE
Practice Address - Street 2:#3
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3131
Practice Address - Country:US
Practice Address - Phone:617-288-3333
Practice Address - Fax:617-288-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health