Provider Demographics
NPI:1790116564
Name:HORIZONS PRIVATE DUTY CARE, INC.
Entity Type:Organization
Organization Name:HORIZONS PRIVATE DUTY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-942-4734
Mailing Address - Street 1:PO BOX 19415
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35219-9415
Mailing Address - Country:US
Mailing Address - Phone:205-942-4734
Mailing Address - Fax:205-942-4735
Practice Address - Street 1:216 AQUARIUS DRIVE
Practice Address - Street 2:SUITE 315
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-5868
Practice Address - Country:US
Practice Address - Phone:205-942-4734
Practice Address - Fax:205-942-4735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care