Provider Demographics
NPI:1689209025
Name:HORTON HOUSE CO.
Entity Type:Organization
Organization Name:HORTON HOUSE CO.
Other - Org Name:HORTON HOUSE CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRISTIAN
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:WURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-636-0439
Mailing Address - Street 1:1126 S HORTON
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-8200
Mailing Address - Country:US
Mailing Address - Phone:620-644-5019
Mailing Address - Fax:620-644-5002
Practice Address - Street 1:1126 S HORTON
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-8200
Practice Address - Country:US
Practice Address - Phone:620-644-5019
Practice Address - Fax:620-644-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No385H00000XRespite Care FacilityRespite Care