Provider Demographics
NPI:1861732174
Name:HEALTHY HORIZONS HOMECARE & HOSPICE LLC
Entity type:Organization
Organization Name:HEALTHY HORIZONS HOMECARE & HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAMBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-396-1282
Mailing Address - Street 1:1006 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4656
Mailing Address - Country:US
Mailing Address - Phone:361-396-1282
Mailing Address - Fax:361-396-1283
Practice Address - Street 1:1006 E 6TH ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4656
Practice Address - Country:US
Practice Address - Phone:361-396-1282
Practice Address - Fax:361-396-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013830251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicare Oscar/Certification