Provider Demographics
NPI:1679703805
Name:HORIZON ACADEMY LLC
Entity Type:Organization
Organization Name:HORIZON ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JADE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-372-1199
Mailing Address - Street 1:HC 70 BOX 531
Mailing Address - Street 2:
Mailing Address - City:AMARGOSA VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89020-9600
Mailing Address - Country:US
Mailing Address - Phone:775-372-1199
Mailing Address - Fax:775-372-1196
Practice Address - Street 1:HC 70 BOX 531
Practice Address - Street 2:
Practice Address - City:AMARGOSA VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89020-9600
Practice Address - Country:US
Practice Address - Phone:775-372-1199
Practice Address - Fax:775-375-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV711-09322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children