Horse Time Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HORSE TIME INC

Practice address

10385 Highway 278 East
Covington, GA 30014

Phone

(770) 784-9777

NPI assigned

Jan 25, 2007

Last updated

Sep 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maureen Frances Vidrine, DIRECTORNPI 1326116633

Title

Director

Phone

77078497777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Maureen Frances Vidrine, APRN-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, GA
  • NPI 1326116633
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1255486411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 880 BETHEL CHURCH ROAD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-784-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10385 HIGHWAY 278 EAST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "770-784-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSE TIME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "VIDRINE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "77078497777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Holmes
• Dana D Homeyer, NP-C
• Tanika Hood
• Madison Hopper
• Terry Lucille Horn, L.P.C.
• House of Grace Personal Care Home
• House of Mercy Outreach Services
• Keisha Howard-Green, BSN, RN, CCO
• Heidi Howard
• Ying Huang, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Covington, GA
• Providers in Covington, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.