Provider Demographics
NPI:1689163271
Name:HORIZON HEALTHCARE PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:HORIZON HEALTHCARE PROFESSIONALS, LLC
Other - Org Name:HOME HEALTHCARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:ITURRI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-260-6077
Mailing Address - Street 1:6 PIDGEON HILL DR STE 309
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6146
Mailing Address - Country:US
Mailing Address - Phone:703-260-6077
Mailing Address - Fax:703-940-0601
Practice Address - Street 1:6 PIDGEON HILL DR STE 309
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:703-260-6077
Practice Address - Fax:703-940-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA512096163WA2000X, 163WH0200X, 163WR0400X, 163WW0000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitationGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========Medicaid
VA163WW0000XOtherWOUND CARE
VA163WR0400XOtherREHABILITATION
VA251E0000XOtherHOME HEALTH
VA=========Medicaid