Active NPI
Horizons Enrichment Center LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cape Girardeau, MO
National Provider Identifier
1437917325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- HORIZONS ENRICHMENT CENTER LLC
- Practice address
- 2100 Themis St Ste 103C
Cape Girardeau, MO 63701-5157 - Phone
- (573) 290-5115
- NPI assigned
- Mar 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Jerome Faber, PHD
- Title
- President/Ceo
- Phone
- (573) 275-6404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2100 Themis St Ste 103C
Cape Girardeau, MO 63701-5157
Mailing address
636 Quail CRK
Jackson, MO 63755-3805
Phone (573) 275-6404
National Provider Directory
National Provider DirectoryLocations
2100 Themis St
Ste 103C
Cape Girardeau, MO 63701
Phone (573) 290-5115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Cape Girardeau, MO
- NPI 1306095120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1437917325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 QUAIL CRK",
"city": "JACKSON",
"state": "MO",
"postal_code": "637553805",
"telephone_number": "573-275-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 THEMIS ST STE 103C",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015157",
"telephone_number": "573-290-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZONS ENRICHMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-06",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "FABER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "573-275-6404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.