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Organization Active NPI

Horizon Health Care LLC

  • Community Based Hospice Care Agency
  • Spokane, WA
National Provider Identifier
1669554275
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS-332 Issued in WA
Legal business name
HORIZON HEALTH CARE LLC
Practice address
608 E Holland Ave
Spokane, WA 99218-1255
Phone
(509) 489-4581
Fax
(509) 482-0717
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Mr. Loren Michael Guske
Title
Owner/Administrator
Phone
(509) 489-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS-332 WA Primary

Addresses

Primary practice location

608 E Holland Ave
Spokane, WA 99218-1255

Mailing address

608 E Holland Ave
Spokane, WA 99218-1255
Phone (509) 489-4581

Other identifiers 2

IdentifierTypeStateIssuer
3990496MedicaidWA
601701491OtherWAUNIFORM BUSINESS ID

Other names 1

  • Horizon Hospice and Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030405000002 WA Part A Provider - Hospice 7517876535 Practice locations: Spokane, WA
O20151103001808 WA Part B Supplier - Clinic/Group Practice 7517876535 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spokane, WA

Hospice certification: CCN 501535

Legal name
HORIZON HEALTH CARE L L C
Doing business as
HORIZON HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 19, 1998
Last certification
Jun 17, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Mar 29, 1996 in WA
Enrollment address
608 E Holland Ave
Spokane, WA 99218-1255

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Horizon HospiceCCN 501535
Ownership
For-Profit
Certified
Jun 19, 1998
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

608 E Holland Ave
Spokane, WA 99218
Phone (509) 489-4581

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Loren Michael Guske Individual 5% Or Greater Direct Ownership InterestPresident Mar 29, 1996 50%
Corporate Director Apr 5, 2003
W-2 Managing Employee Mar 29, 1996
Elizabeth Guske Individual 5% Or Greater Direct Ownership Interest Mar 29, 1996 50%
Corporate Director Apr 5, 2003

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1669554275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181255",
            "telephone_number": "509-489-4581",
            "fax_number": "509-482-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181255",
            "telephone_number": "509-489-4581",
            "fax_number": "509-482-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "GUSKE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "509-489-4581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS-332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3990496",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM BUSINESS ID",
            "identifier": "601701491",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.