Provider Demographics
NPI:1972216828
Name:HORTONS HOME CARE LLC
Entity type:Organization
Organization Name:HORTONS HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DOO
Authorized Official - Prefix:
Authorized Official - First Name:MIKEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-348-7031
Mailing Address - Street 1:231 W 4TH ST APT A819
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2626
Mailing Address - Country:US
Mailing Address - Phone:513-328-1793
Mailing Address - Fax:
Practice Address - Street 1:231 W 4TH ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2679
Practice Address - Country:US
Practice Address - Phone:702-348-7031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care