Provider Demographics
NPI:1669554275
Name:HORIZON HEALTH CARE LLC
Entity type:Organization
Organization Name:HORIZON HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GUSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-489-4581
Mailing Address - Street 1:608 E HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1255
Mailing Address - Country:US
Mailing Address - Phone:509-489-4581
Mailing Address - Fax:509-482-0717
Practice Address - Street 1:608 E HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1255
Practice Address - Country:US
Practice Address - Phone:509-489-4581
Practice Address - Fax:509-482-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-332251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3990496Medicaid
WA601701491OtherUNIFORM BUSINESS ID