Provider Demographics
NPI:1255897385
Name:HUMBLE HORIZON HOME HEALTH LLC
Entity type:Organization
Organization Name:HUMBLE HORIZON HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-256-8364
Mailing Address - Street 1:6066 WILDERNESS TRL
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001
Mailing Address - Country:US
Mailing Address - Phone:307-256-8364
Mailing Address - Fax:307-316-0755
Practice Address - Street 1:223 LINDEN ST STE 202
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2458
Practice Address - Country:US
Practice Address - Phone:307-256-8364
Practice Address - Fax:307-316-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No305S00000XManaged Care OrganizationsPoint of Service
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No385H00000XRespite Care FacilityRespite Care