Provider Demographics
NPI:1639626930
Name:HORIZON HELTHCARE STAFFING
Entity Type:Organization
Organization Name:HORIZON HELTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:MCGLOINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-286-2023
Mailing Address - Street 1:525 RIVERLEIGH AVE UNIT AA4
Mailing Address - Street 2:
Mailing Address - City:RIVERHEADE
Mailing Address - State:NY
Mailing Address - Zip Code:11901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 RIVERLEIGH AVE
Practice Address - Street 2:UNIT AA4
Practice Address - City:RIVERHEADE
Practice Address - State:NY
Practice Address - Zip Code:11901
Practice Address - Country:US
Practice Address - Phone:516-286-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325482163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty