NPIMap

Organization Active NPI

Horizon Health and Wellness, Inc.

Doing business as horizon health and wellness

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
National Provider Identifier
1215502471
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HORIZON HEALTH AND WELLNESS, INC.
Practice address
210 E Cottonwood LN
Casa Grande, AZ 85122-2514
Phone
(480) 983-0065
NPI assigned
May 20, 2021
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Billie Holliday
Title
Chief Operating Officer
Phone
(480) 474-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

210 E Cottonwood LN
Casa Grande, AZ 85122-2514

Mailing address

625 N Plaza Dr
Apache Junction, AZ 85120-5502
Phone (480) 474-5580

Other names 1

  • horizon health and wellness Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202000450 AZ Part B Supplier - Clinic/Group Practice 6406759711 Receives reassigned benefits from 93 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Queen Creek, AZ; Yuma, AZ; Oracle, AZ; Globe, AZ; Casa Grande, AZ; Florence, AZ; Apache Junction, AZ
O20210701003495 AZ Part A Provider - Federally Qualified Health Center (FQHC) 6406759711 Practice locations: Casa Grande, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215502471. Details of each certification follow.

Federally qualified health center certification: CCN 031005

Legal name
HORIZON HEALTH AND WELLNESS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2021
Last certification
Jul 1, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 1986 in AZ
Enrollment address
210 E Cottonwood LN
Casa Grande, AZ 85122-2514

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Horizon Health Wellness in32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Rodriguez Individual W-2 Managing EmployeeDirector of Revenue Cycle Managemen Oct 13, 2015
Benjamin Baxter Individual Corporate OfficerChief Financial Officer Oct 1, 2019
Bryan Alford Individual Corporate OfficerBoard of Directors Vice Chair Apr 1, 2016
Brent Billingsley Individual Corporate OfficerBoard of Directors Vice Chair Oct 1, 2015

Practitioners & affiliated clinicians

Practitioners 3

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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1215502471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N PLAZA DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205502",
            "telephone_number": "480-474-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222514",
            "telephone_number": "480-983-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-06-29",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-474-5580"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "horizon health and wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "horizon health and wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "horizon health and wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.