Provider Demographics
NPI:1851905400
Name:HORIZON SENIOR ASSISTED LIVING FACILITY LLC
Entity Type:Organization
Organization Name:HORIZON SENIOR ASSISTED LIVING FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:MARCELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-572-5000
Mailing Address - Street 1:4690 NW 113TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1054
Mailing Address - Country:US
Mailing Address - Phone:954-572-5000
Mailing Address - Fax:754-779-7545
Practice Address - Street 1:4690 NW 113TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1054
Practice Address - Country:US
Practice Address - Phone:954-572-5000
Practice Address - Fax:754-779-7545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility