Organization Active NPI

Horizon House I

  • Intellectual Disabilities Intermediate Care Facility
  • Ventura, CA
National Provider Identifier
1265409049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HORIZON HOUSE I
Practice address
2169 Ermine Ave
Ventura, CA 93003-6812
Phone
(805) 647-4555
Fax
(805) 647-0406
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wanda Kruft
Title
Ceo
Phone
(805) 647-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

2169 Ermine Ave
Ventura, CA 93003-6812

Mailing address

2169 Ermine Ave
Ventura, CA 93003-6812
Phone (805) 647-4555

Other identifiers 1

IdentifierTypeStateIssuer
LTC80118FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265409049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 ERMINE AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036812",
            "telephone_number": "805-647-4555",
            "fax_number": "805-647-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 ERMINE AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036812",
            "telephone_number": "805-647-4555",
            "fax_number": "805-647-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOUSE I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUFT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-647-4555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80118F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.