Provider Demographics
NPI:1922540442
Name:HORIZON HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:HORIZON HEALTH CARE SERVICES INC
Other - Org Name:NATIONAL DME SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:AFFENITA
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:877-776-8400
Mailing Address - Street 1:1357 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-2467
Mailing Address - Country:US
Mailing Address - Phone:877-776-8400
Mailing Address - Fax:
Practice Address - Street 1:335 S SAINT ANDREWS ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-2675
Practice Address - Country:US
Practice Address - Phone:877-776-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL236332BX2000X
AL838335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0354680001Medicare NSC