NPIMap

Organization Active NPI

Horizons Unlimited of Pac, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Emmetsburg, IA
National Provider Identifier
1043364078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HORIZONS UNLIMITED OF PAC, INC.
Practice address
3826 460TH Ave
Emmetsburg, IA 50536-8582
Phone
(712) 852-2211
Fax
(712) 852-4800
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald C. Ludwig
Title
Chief Executive Officer
Phone
(712) 852-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

3826 460TH Ave
Emmetsburg, IA 50536-8582

Mailing address

3826 460TH Ave
Emmetsburg, IA 50536-8582
Phone (712) 852-2211

Other identifiers 1

IdentifierTypeStateIssuer
1245514MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Horizons Unlimited of Pac Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043364078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 460TH AVE",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505368582",
            "telephone_number": "712-852-2211",
            "fax_number": "712-852-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 460TH AVE",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505368582",
            "telephone_number": "712-852-2211",
            "fax_number": "712-852-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS UNLIMITED OF PAC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "712-852-2211"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245514",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.