Provider Demographics
NPI:1245328087
Name:HORIZON HOME RESPIRATORY AND
Entity type:Organization
Organization Name:HORIZON HOME RESPIRATORY AND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:MUSTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-496-7362
Mailing Address - Street 1:133 S BICKETT BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2672
Mailing Address - Country:US
Mailing Address - Phone:919-496-7362
Mailing Address - Fax:919-496-6379
Practice Address - Street 1:133 S BICKETT BLVD
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2672
Practice Address - Country:US
Practice Address - Phone:919-496-7362
Practice Address - Fax:919-496-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704572Medicaid
NC7704572Medicaid