Provider Demographics
NPI:1780687327
Name:HORIZON HOME CARE & HOSPICE, INC.
Entity Type:Organization
Organization Name:HORIZON HOME CARE & HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-586-6245
Mailing Address - Street 1:11400 W LAKE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3035
Mailing Address - Country:US
Mailing Address - Phone:414-365-8300
Mailing Address - Fax:414-365-8328
Practice Address - Street 1:11400 W LAKE PARK DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-3035
Practice Address - Country:US
Practice Address - Phone:414-365-8300
Practice Address - Fax:414-365-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI150251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41523400Medicaid
WI43183400Medicaid
WI81007OtherWPS HOSPICE
WI3911712598AOtherHCM HOMECARE & HOSPICE
WI82963OtherWPS HOME CARE
WI81007OtherWPS HOSPICE
WI41523400Medicaid
WI82963OtherWPS HOME CARE