Provider Demographics
NPI:1558419119
Name:HORIZONS COMMUNITY CARE INC
Entity type:Organization
Organization Name:HORIZONS COMMUNITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-437-5400
Mailing Address - Street 1:1202 WEST BUENA VISTA RD
Mailing Address - Street 2:STE 204
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-5134
Mailing Address - Country:US
Mailing Address - Phone:812-431-5644
Mailing Address - Fax:812-479-1685
Practice Address - Street 1:1202 WEST BUENA VISTA RD
Practice Address - Street 2:STE 204
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-5134
Practice Address - Country:US
Practice Address - Phone:812-431-5644
Practice Address - Fax:812-479-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-005998-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200217590Medicaid