P R Horton RPH Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

59 Issued in IA

Legal business name

P R HORTON RPH INC

Practice address

2609 Apache CT
Sioux City, IA 51104-1504

Phone

(712) 224-2845

Fax

(712) 224-2846

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Paul R Horton, RP

Title

President

Phone

(712) 224-2845

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Continue Care Home Infusion Doing business as

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1104092816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-224-2845",
            "fax_number": "712-224-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-224-2845",
            "fax_number": "712-224-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P R HORTON RPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-224-2845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "59",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IA",
            "license": "59",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9167250",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208330",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXX00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD OF IOWA",
            "identifier": "20136",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continue Care Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandee Jo Ostrem, LMSW
• Kriemhild Oudheusden Dalpez, LISW
• Elizabeth Overgaauw, RD, LD, LMNT
• Brian Owens, PT
• Florencia Francisca Oyarzun Jeraldo
• P R Horton RPH, Inc
• Molly Pace, LMHC
• Stephen R Pallone, M.D.
• Bryce A Palmer, D.C.
• Melissa Palomino

• Parenteral & Enteral Nutrition Supplies (DME) in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.