Organization Active NPI

Horizon on Granada, LLC

Doing business as Pleasant Hill family Practice

  • Home Health Agency
  • Kissimmee, FL
National Provider Identifier
1710522289
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HORIZON ON GRANADA, LLC
Doing business as
Pleasant Hill family Practice
Practice address
1653 Regal Oak Dr
Kissimmee, FL 34744-6644
Phone
(407) 334-6169
Fax
(407) 350-4613
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Merita Thomas MasonNPI 1508104563
Title
Owner
Phone
(407) 334-6169

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1653 Regal Oak Dr
Kissimmee, FL 34744-6644

Mailing address

1653 Regal Oak Dr
Kissimmee, FL 34744-6644
Phone (407) 334-6169

Other names 1

  • Pleasant Hill family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1710522289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 REGAL OAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446644",
            "telephone_number": "407-334-6169",
            "fax_number": "407-350-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 REGAL OAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446644",
            "telephone_number": "407-334-6169",
            "fax_number": "407-350-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON ON GRANADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS MASON",
        "authorized_official_first_name": "MERITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-334-6169"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Hill family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.