Provider Demographics
NPI:1891209466
Name:HORIZON HOME HEALTH CARE
Entity Type:Organization
Organization Name:HORIZON HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:USHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-670-2255
Mailing Address - Street 1:6007 W BROADWAY AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-2882
Mailing Address - Country:US
Mailing Address - Phone:763-670-2255
Mailing Address - Fax:
Practice Address - Street 1:6007 W BROADWAY AVE APT 303
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-2882
Practice Address - Country:US
Practice Address - Phone:763-670-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-18
Last Update Date:2017-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health