Organization Active NPI

Horizon House Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1780767707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HORIZON HOUSE INC
Practice address
5565 Kensington Ave
Detroit, MI 48224-2623
Phone
(313) 640-1965
Fax
(313) 640-1965
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Lum, LBASW
Title
Director
Phone
(313) 640-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MI Primary

Addresses

Primary practice location

5565 Kensington Ave
Detroit, MI 48224-2623

Mailing address

5565 Kensington Ave
Detroit, MI 48224-2623
Phone (313) 640-1965

Other identifiers 1

IdentifierTypeStateIssuer
466132OtherMIPROVIDER SERVICE NUMBER

National Provider Directory

National Provider Directory

Locations

5565 Kensington Ave
Detroit, MI 48224
Phone (313) 640-1965

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780767707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 KENSINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242623",
            "telephone_number": "313-640-1965",
            "fax_number": "313-640-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 KENSINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242623",
            "telephone_number": "313-640-1965",
            "fax_number": "313-640-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-640-1965",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBASW"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER SERVICE NUMBER",
            "identifier": "466132",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.