Provider Demographics
NPI:1841560695
Name:HORIZON SCIENCE ACADEMY INC.
Entity Type:Organization
Organization Name:HORIZON SCIENCE ACADEMY INC.
Other - Org Name:HORIZON SCIENCE ACADEMY COLUMBUS MIDDLE SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAID ENROLLMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVESQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-922-9300
Mailing Address - Street 1:2350 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5801
Mailing Address - Country:US
Mailing Address - Phone:614-475-4585
Mailing Address - Fax:614-475-4587
Practice Address - Street 1:2350 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5801
Practice Address - Country:US
Practice Address - Phone:614-475-4585
Practice Address - Fax:614-475-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)