Provider Demographics
NPI:1508408352
Name:HORIZON HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:HORIZON HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERIFAT
Authorized Official - Middle Name:BOLANLE
Authorized Official - Last Name:OTUNUGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-639-8092
Mailing Address - Street 1:9703 GREENSPRUCE AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1516
Mailing Address - Country:US
Mailing Address - Phone:763-639-8092
Mailing Address - Fax:763-592-7913
Practice Address - Street 1:9703 GREENSPRUCE AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1516
Practice Address - Country:US
Practice Address - Phone:763-639-8092
Practice Address - Fax:763-592-7913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health