NPIMap

Organization Active NPI

Horizon Care Home

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1770829848
Registry record updated Dec 18, 2012
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
Practice address
10802 N. 57TH Dr
Glendale, AZ 85304-3867
Phone
(623) 547-6699
Fax
(623) 792-5698
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Ma Grace Corazon Juachon Fernandez
Title
Administrator
Phone
(602) 710-8782

Specialties & licenses 1

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

Addresses

Primary practice location

10802 N. 57TH Dr
Glendale, AZ 85304-3867

Mailing address

10802 N 57TH Dr
Glendale, AZ 85304-3864
Phone (623) 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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1770829848",
    "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": "623-547-6699",
            "fax_number": "623-792-5698"
        },
        {
            "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": "853043867",
            "telephone_number": "623-547-6699",
            "fax_number": "623-792-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MA GRACE CORAZON",
        "authorized_official_middle_name": "JUACHON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-710-8782"
    },
    "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 Dec 18, 2012; 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.