Provider Demographics
NPI:1710984596
Name:HORIZON HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:HORIZON HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-638-4719
Mailing Address - Street 1:1357 BRICKYARD RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-2467
Mailing Address - Country:US
Mailing Address - Phone:850-638-4719
Mailing Address - Fax:850-638-8520
Practice Address - Street 1:1357 BRICKYARD RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-2467
Practice Address - Country:US
Practice Address - Phone:850-638-4719
Practice Address - Fax:850-638-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL236332B00000X
FL00869332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR4628OtherOTHER THIRD PARTY
FLR4628OtherHUMANA
FLR4628OtherBCBS OF FLORIDA
FL0354680001Medicare NSC