Horizon Home Care Inc
Organization Active NPI Home Health Agency · Ontonagon, MI
NPI 1346245677 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346245677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 237469 (MI)
- Legal business name
- HORIZON HOME CARE INC
- Practice address
- 1001 Giesau Dr
Ontonagon, MI 49953-1454 - Phone
- (906) 884-6092
- Fax
- (906) 884-6158
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Miss Polly Karttunen
- Title
- Owner Administator
- Phone
- (906) 884-6092
Practitioners 1
-
Jason Clark, PTA
Affiliated clinicians 5
-
Kasey J. Burke, FNP-C
-
Helen Domitrovich, APRN, DNP, FNP-C
-
Daniel John Lukes, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Horizon Home Care
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- May 14, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Home health agency certification: CCN 237469
- Legal name
- HORIZON HOME CARE INC
- Doing business as
- HORIZON HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 14, 2002
- Last certification
- Oct 25, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 10, 2003 in MI
- Enrollment address
- 1001 Giesau Drive
Ontonagon, MI 49953-1454
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Donni Kay Store |
Corporate Director |
Dec 17, 2003 | |
| W-2 Managing Employee |
Jan 1, 2002 | ||
| Polly Jean Anderson |
5% Or Greater Direct Ownership Interest | May 14, 2002 | 100% |
| Corporate Director |
May 14, 2002 | 100% | |
| W-2 Managing Employee |
May 14, 2002 | 100% | |
| Operational/Managerial Control |
May 14, 2002 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000884 | MI | Part a Provider - Home Health Agency | 1658278668 | Practice locations: Ontonagon, MI |
National Provider Directory
Locations
1001 Giesau Dr
Ontonagon, MI 49953
Phone (906) 884-6092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 237469 | MI | Yes |
Addresses
Primary practice location
1001 Giesau Dr
Ontonagon, MI 49953-1454
Mailing address
1001 Giesau Dr
Ontonagon, MI 49953-1454
Phone (906) 884-6092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OE933 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4408439 | Medicaid | MI |
Other providers in Ontonagon, MI
- County of Houghton
- Sara Delene
- Helen Domitrovich
- Danielle Hamlin
- Harbor Town Pharmacy Inc
- Jessica Brooke Huntzinger
- Robert J Johnson
- Ryan Kaiponen
- Colleen Marie Lundgren
- Eric Andrew Maki
All providers in Ontonagon, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.