NPIMap

Organization Active NPI

Horizon House, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1841377611
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17850 Issued in PA
Legal business name
HORIZON HOUSE, INC.
Practice address
120 S 30TH St
Ist Division
Philadelphia, PA 19104-3403
Phone
(215) 386-3838
Fax
(215) 438-4872
NPI assigned
Nov 1, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Jeffrey Wilush
Title
Ceo President
Phone
(215) 386-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17850 PA Primary

Addresses

Primary practice location

120 S 30TH St
Ist Division
Philadelphia, PA 19104-3403

Mailing address

120 S 30TH St
Ist Division
Philadelphia, PA 19104-3403
Phone (215) 386-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000515 PA Part B Supplier - Clinic/Group Practice 9638163645 Receives reassigned benefits from 23 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Horizon House Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 S 30th St
Philadelphia, PA 19104
Phone (215) 222-2466

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1841377611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 30TH ST",
            "address_2": "IST DIVISION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043403",
            "telephone_number": "215-386-3838",
            "fax_number": "215-438-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 30TH ST",
            "address_2": "IST DIVISION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043403",
            "telephone_number": "215-386-3838",
            "fax_number": "215-438-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WILUSH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "215-386-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "17850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.