Provider Demographics
NPI:1982694469
Name:HORIZON HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:HORIZON HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:505-326-2525
Mailing Address - Street 1:727 E UTE ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-9122
Mailing Address - Country:US
Mailing Address - Phone:505-326-2525
Mailing Address - Fax:505-325-6487
Practice Address - Street 1:727 E UTE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-9122
Practice Address - Country:US
Practice Address - Phone:505-326-2525
Practice Address - Fax:505-325-6487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3062251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA8441Medicaid
NMA8441Medicaid