NPIMap

Organization Active NPI

Horizon Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1225052830
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HORIZON HEALTHCARE, INC
Practice address
4650 S Howell Ave
Milwaukee, WI 53207-5908
Phone
(414) 376-5577
Fax
(414) 762-9927
NPI assigned
Jul 27, 2006
Last updated
Aug 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Rebbecca Zillmer
Title
Manager
Phone
(414) 301-6384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4650 S Howell Ave
Milwaukee, WI 53207-5908

Mailing address

217 Wisconsin Ave Ste 204
Waukesha, WI 53186-4946
Phone (414) 301-6384

Other practice location 1

5555 N 51st St
Milwaukee, WI 53218-3308
Phone (414) 376-5577

Other practice location 2

835 Wisconsin Ave
Racine, WI 53403-1505
Phone (414) 376-5577

Other practice location 3

2819 W Highland Blvd
Milwaukee, WI 53208-3217
Phone (414) 376-5577

Other practice location 4

5408 W Burleigh St
Milwaukee, WI 53210-1624
Phone (414) 376-5577

Other practice location 5

2835 N 32nd St
Milwaukee, WI 53210-1915
Phone (414) 376-5577

Other practice location 6

741 N Grand Ave Ste 200
Waukesha, WI 53186-4841
Phone (414) 376-5577

Other practice location 7

3410 80th St
Kenosha, WI 53142-4975
Phone (414) 376-5577

Other practice location 8

5005 W Howard Ave
Milwaukee, WI 53220-2025
Phone (414) 376-5577

Other identifiers 3

IdentifierTypeStateIssuer
100030905MedicaidWI
100031478MedicaidWI
42215200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040124000318 WI Part B Supplier - Clinic/Group Practice 0749182160 Receives reassigned benefits from 21 practitioners
18 other NPIs on this enrollment
Practice locations: Milwaukee, WI; Waukesha, WI; Racine, WI; Kenosha, WI

Other NPIs on the same Medicare enrollment 12

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2096656Horizon Healthcare, Inc4650 S Howell Ave, Milwaukee, WI 53207AccreditationJan 1, 2028
52D2099263Horizon Healthcare, Inc3410 80TH Avenue, Kenosha, WI 53142Certificate of waiverJul 22, 2027
52D2127026Horizon Healthcare, Inc835 Wisconsin Ave, Racine, WI 53403Certificate of waiverMar 7, 2027
52D2178085Horizon Healthcare, Inc2819 W Highland Blvd, Milwaukee, WI 53208Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Locations (25 of 28)

5678 W Brown Deer Rd
Ste 102
Brown Deer, WI 53223

8200 W Brown Deer Rd
Ste 300A
Brown Deer, WI 53223

797 E Geneva St
Elkhorn, WI 53121
Phone (262) 723-1455

N5876 US Highway 12
Ste B
Elkhorn, WI 53121
Phone (262) 723-1455

9132 S 92nd St
Franklin, WI 53132

1930 Wisconsin Ave
Grafton, WI 53024
Phone (262) 377-3712

1111 55th St
Kenosha, WI 53140
Phone (262) 842-0500

3410 80th St
Kenosha, WI 53142
Phone (262) 697-0825

3535 30th Ave
Ste 202
Kenosha, WI 53144
Phone (262) 652-1928

1050 Regent St
Ste 201
Madison, WI 53715
Phone (608) 255-1116

1221 W Mitchell St
Milwaukee, WI 53204

2835 N 32nd St
Milwaukee, WI 53210
Phone (414) 342-6200

5005 W Howard Ave
Milwaukee, WI 53220

5427 W Villard Ave
Milwaukee, WI 53218

5678 W Brown Deer Rd
Milwaukee, WI 53223
Phone (414) 732-6132

633 W Wisconsin Ave
Ste 1810
Milwaukee, WI 53203
Phone (414) 271-3322

756 N 35th St
Ste 203
Milwaukee, WI 53208
Phone (414) 763-1237

6416 S Howell Ave
Oak Creek, WI 53154
Phone (414) 304-5713

116 W Grand Ave
Port Washington, WI 53074
Phone (262) 284-3117

1648 Washington Ave
Racine, WI 53403

835 Wisconsin Ave
Racine, WI 53403

2314 N Grandview Blvd
Ste 110
Waukesha, WI 53188
Phone (262) 524-9416

400 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 524-9416

741 N Grand Ave
Waukesha, WI 53186

402 E Division St
Wautoma, WI 54982

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1225052830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WISCONSIN AVE STE 204",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864946",
            "telephone_number": "414-301-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075908",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 N 51st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532183308",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534031505",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2819 W Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083217",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5408 W Burleigh St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101624",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 N 32nd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101915",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 N Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864841",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 80th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531424975",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5005 W Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532202025",
            "country_code": "US",
            "telephone_number": "414-376-5577",
            "fax_number": "414-762-9927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HORIZON HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "ZILLMER",
        "authorized_official_first_name": "REBBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-301-6384"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100030905",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031478",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42215200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.