Provider Demographics
NPI:1730831306
Name:HORIZON HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HORIZON HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DESIGNATED MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:BULHAN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:612-735-2888
Mailing Address - Street 1:1831 UNIVERSITY AVE W # 16
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3401
Mailing Address - Country:US
Mailing Address - Phone:612-735-2888
Mailing Address - Fax:
Practice Address - Street 1:1831 UNIVERSITY AVE W # 16
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3401
Practice Address - Country:US
Practice Address - Phone:612-735-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health