NPIMap

Organization Active NPI

Horizon Health and Wellness, Inc.

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1396168902
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MED 5473 Issued in AZ
Legal business name
HORIZON HEALTH AND WELLNESS, INC.
Practice address
3180 E 40TH St # 1-45A5G
Yuma, AZ 85365-7772
Phone
(480) 983-0065
Fax
(480) 288-5339
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Norman E. Mudd, MA, LMFT
Title
Chief Executive Officer
Phone
(480) 983-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MED 5473 AZ Primary

Addresses

Primary practice location

3180 E 40TH St # 1-45A5G
Yuma, AZ 85365-7772

Mailing address

625 N. Plaza Drive
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

Other identifiers 1

IdentifierTypeStateIssuer
MED 5473OtherAZSTATE LICENSE

Other names 1

  • Mountain Health & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Pedro Valley Behavi32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

3180 E 40th St
#145A5G
Yuma, AZ 85365

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1396168902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N. PLAZA DRIVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205501",
            "telephone_number": "480-983-0065",
            "fax_number": "480-671-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 E 40TH ST # 1-45A5G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657772",
            "telephone_number": "480-983-0065",
            "fax_number": "480-288-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-983-0065",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "MED 5473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MED 5473",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.