Provider Demographics
NPI:1659787760
Name:T SQUARE ENTERPRISES, INC
Entity Type:Organization
Organization Name:T SQUARE ENTERPRISES, INC
Other - Org Name:HORIZON SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TROUPE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:812-767-9233
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-0844
Mailing Address - Country:US
Mailing Address - Phone:812-767-9233
Mailing Address - Fax:
Practice Address - Street 1:5215 N CAMELOT WAY
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-7348
Practice Address - Country:US
Practice Address - Phone:812-767-9233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14-013362-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care