Provider Demographics
NPI:1942954102
Name:HORNBUCKLE FOUNDATION
Entity Type:Organization
Organization Name:HORNBUCKLE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNBUCKLE
Authorized Official - Suffix:
Authorized Official - Credentials:NCPRSS
Authorized Official - Phone:303-875-3742
Mailing Address - Street 1:10499 BRADFORD RD UNIT 104
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6418
Mailing Address - Country:US
Mailing Address - Phone:303-875-3742
Mailing Address - Fax:
Practice Address - Street 1:10499 BRADFORD RD UNIT 104
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6418
Practice Address - Country:US
Practice Address - Phone:720-634-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty