Provider Demographics
NPI:1922154640
Name:HORIZON HEALTHCARE INC.
Entity Type:Organization
Organization Name:HORIZON HEALTHCARE INC.
Other - Org Name:AM HEALTHCARE & DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-585-4553
Mailing Address - Street 1:2004 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-3414
Mailing Address - Country:US
Mailing Address - Phone:915-585-4553
Mailing Address - Fax:915-585-4565
Practice Address - Street 1:2004 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3414
Practice Address - Country:US
Practice Address - Phone:915-585-4553
Practice Address - Fax:915-585-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0086081332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1239220002Medicare ID - Type Unspecified