Provider Demographics
NPI:1932326444
Name:HORIZON HEALTH SERVICES INC
Entity Type:Organization
Organization Name:HORIZON HEALTH SERVICES INC
Other - Org Name:LIFETIME MEDICAL SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:OSHODI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, CM/DN
Authorized Official - Phone:301-362-3600
Mailing Address - Street 1:312 MARSHALL AVE
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4824
Mailing Address - Country:US
Mailing Address - Phone:301-362-3600
Mailing Address - Fax:301-362-3333
Practice Address - Street 1:312 MARSHALL AVE
Practice Address - Street 2:SUITE 1001
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4824
Practice Address - Country:US
Practice Address - Phone:301-362-3600
Practice Address - Fax:301-362-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2230251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR2230Medicaid