Organization Active NPI

Horizon Senior Assisted Living Facility LLC

  • Assisted Living Facility
  • Sunrise, FL
National Provider Identifier
1851905400
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HORIZON SENIOR ASSISTED LIVING FACILITY LLC
Practice address
4690 NW 113TH Ave
Sunrise, FL 33323-1054
Phone
(954) 572-5000
Fax
(754) 779-7545
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Mr. Louis O Marcelus
Title
MGR
Phone
(954) 572-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4690 NW 113TH Ave
Sunrise, FL 33323-1054

Mailing address

4690 NW 113TH Ave
Sunrise, FL 33323-1054
Phone (954) 572-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1851905400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 NW 113TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231054",
            "telephone_number": "954-572-5000",
            "fax_number": "754-779-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 NW 113TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231054",
            "telephone_number": "954-572-5000",
            "fax_number": "754-779-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON SENIOR ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MARCELUS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-572-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.