Organization Active NPI

Horizon House Assisted Living Inc.

  • Assisted Living Facility
  • Cocoa Beach, FL
National Provider Identifier
1811230782
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11605
Legal business name
HORIZON HOUSE ASSISTED LIVING INC.
Practice address
119 W Suwannee LN
Cocoa Beach, FL 32931-3649
Phone
(321) 626-6672
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Mr. Charles John Georges
Title
Manager
Phone
(321) 626-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11605 Primary

Addresses

Primary practice location

119 W Suwannee LN
Cocoa Beach, FL 32931-3649

Mailing address

119 W Suwannee LN
Cocoa Beach, FL 32931-3649
Phone (321) 626-6672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1811230782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W SUWANNEE LN",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313649",
            "telephone_number": "321-626-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W SUWANNEE LN",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313649",
            "telephone_number": "321-626-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOUSE ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "GEORGES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-626-6672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": "AL11605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.