Provider Demographics
NPI:1891191508
Name:HORIZON SCIENCE ACADEMY-DAYTON
Entity Type:Organization
Organization Name:HORIZON SCIENCE ACADEMY-DAYTON
Other - Org Name:HORIZON SCIENCE ACADEMY-DAYTON ELEMENTARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:UGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENGINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-1177
Mailing Address - Street 1:4751 SUE ANN BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1171
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4751 SUE ANN BLVD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1171
Practice Address - Country:US
Practice Address - Phone:937-277-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid