Provider Demographics
NPI:1851363386
Name:HORIZON HOME CARE, INC.
Entity Type:Organization
Organization Name:HORIZON HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAKARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOSHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-365-9055
Mailing Address - Street 1:2140 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 534
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2207
Mailing Address - Country:US
Mailing Address - Phone:213-365-9055
Mailing Address - Fax:213-365-9056
Practice Address - Street 1:2140 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 534
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2207
Practice Address - Country:US
Practice Address - Phone:213-365-9055
Practice Address - Fax:213-365-9056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001337251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08085FOtherMEDI-CAL
CA058085Medicare Oscar/Certification