Provider Demographics
NPI:1457182008
Name:HORIZONS IN HOME HEALTH
Entity type:Organization
Organization Name:HORIZONS IN HOME HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-460-2763
Mailing Address - Street 1:5401 S TACOMA WAY
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:253-301-1009
Practice Address - Street 1:5401 S TACOMA WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4312
Practice Address - Country:US
Practice Address - Phone:206-460-2763
Practice Address - Fax:253-301-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care