Organization Active NPI

Horizons of Tuscarawas and Carroll Counties, Inc.

Doing business as Horizons, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bolivar, OH
National Provider Identifier
1174731053
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7910069 Issued in OH
Legal business name
HORIZONS OF TUSCARAWAS AND CARROLL COUNTIES, INC.
Doing business as
Horizons, Inc.
Practice address
10071 State Route 212 NE
Bolivar, OH 44612-8780
Phone
(330) 874-1060
Fax
(330) 874-1090
NPI assigned
May 21, 2007
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Mrs. Donna E. Merrill
Title
Executive Director
Phone
(330) 364-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7910069 OH Primary

Addresses

Primary practice location

10071 State Route 212 NE
Bolivar, OH 44612-8780

Mailing address

220 W 4TH St
Dover, OH 44622-2960
Phone (330) 364-5415

Other identifiers 1

IdentifierTypeStateIssuer
0497476MedicaidOH

Other names 1

  • Horizons, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

10071 State Route 212 NE
Bolivar, OH 44612
Phone (330) 874-1060

220 W 4th St
Dover, OH 44622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1174731053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 4TH ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222960",
            "telephone_number": "330-364-5415",
            "fax_number": "330-364-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 STATE ROUTE 212 NE",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446128780",
            "telephone_number": "330-874-1060",
            "fax_number": "330-874-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS OF TUSCARAWAS AND CARROLL COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-364-5415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "7910069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizons, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolivar, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.