Provider Demographics
NPI:1558159657
Name:HORIZON CENTERS OF SAN JOSE
Entity type:Organization
Organization Name:HORIZON CENTERS OF SAN JOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-676-1000
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 392
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3537
Mailing Address - Country:US
Mailing Address - Phone:323-676-1000
Mailing Address - Fax:323-676-2000
Practice Address - Street 1:1275 N 4TH ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4705
Practice Address - Country:US
Practice Address - Phone:323-676-1000
Practice Address - Fax:323-676-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251B00000XAgenciesCase Management