Organization Active NPI

Horizon Community Dev. Corp.

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, TN
National Provider Identifier
1326410739
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HORIZON COMMUNITY DEV. CORP.
Practice address
806 Dresden Ave
Johnson City, TN 37604-6324
Phone
(423) 340-1266
Fax
(423) 928-7700
NPI assigned
Oct 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Authorized official

Name
Ronald Von Essen
Title
Executive Director
Phone
(423) 340-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

806 Dresden Ave
Johnson City, TN 37604-6324

Mailing address

806 Dresden Ave
Johnson City, TN 37604-6324
Phone (423) 340-1266

Other identifiers 1

IdentifierTypeStateIssuer
69122OtherTNCONTRACTORS LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445731200000",
    "number": "1326410739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 DRESDEN AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046324",
            "telephone_number": "423-340-1266",
            "fax_number": "423-928-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 DRESDEN AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046324",
            "telephone_number": "423-340-1266",
            "fax_number": "423-928-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON COMMUNITY DEV. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A",
        "authorized_official_last_name": "ESSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "VON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-340-1266"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACTORS LICENSE",
            "identifier": "69122",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; 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.