Provider Demographics
NPI:1962097741
Name:HORIZONS HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:HORIZONS HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:DOMINGUEZ
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-537-0107
Mailing Address - Street 1:3949 PENDER DR STE 320
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6088
Mailing Address - Country:US
Mailing Address - Phone:703-537-0107
Mailing Address - Fax:571-234-6601
Practice Address - Street 1:3949 PENDER DR STE 320
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6088
Practice Address - Country:US
Practice Address - Phone:703-537-0107
Practice Address - Fax:571-234-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty