Provider Demographics
NPI:1275368037
Name:HORIZON CARE HUB LLC
Entity type:Organization
Organization Name:HORIZON CARE HUB LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-732-4716
Mailing Address - Street 1:1651 W WALLEN AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-6213
Mailing Address - Country:US
Mailing Address - Phone:773-732-4716
Mailing Address - Fax:
Practice Address - Street 1:1651 W WALLEN AVE APT 2B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-6213
Practice Address - Country:US
Practice Address - Phone:773-732-4716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies