Organization Active NPI

Horizon Care Home, LLC

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1740560069
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8501H Issued in AZ
Legal business name
HORIZON CARE HOME, LLC
Practice address
10802 N 57TH Dr
Glendale, AZ 85304-3864
Phone
(602) 547-6699
Fax
(602) 547-5006
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mr. Marco Rhive Aquino
Title
Administrator
Phone
(602) 373-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8501H AZ Primary

Addresses

Primary practice location

10802 N 57TH Dr
Glendale, AZ 85304-3864

Mailing address

10802 N 57TH Dr
Glendale, AZ 85304-3864
Phone (602) 547-6699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1740560069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 N 57TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043864",
            "telephone_number": "602-547-6699",
            "fax_number": "602-547-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 N 57TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043864",
            "telephone_number": "602-547-6699",
            "fax_number": "602-547-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "RHIVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-373-3223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8501H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.