NPIMap

Organization Active NPI

Horizon Behavioral Health

Doing business as Altavista ICF

  • Intellectual Disabilities Intermediate Care Facility
  • Altavista, VA
National Provider Identifier
1891105607
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HORIZON BEHAVIORAL HEALTH
Doing business as
Altavista ICF
Practice address
101 Avoca LN
Altavista, VA 24517-1154
Phone
(434) 369-7187
Fax
(434) 369-4149
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Ms. Ashley Vaughan
Title
Reimbursement Manager
Phone
(434) 485-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X VA Primary

Addresses

Primary practice location

101 Avoca LN
Altavista, VA 24517-1154

Mailing address

620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone (434) 485-8861

Other names 1

  • Altavista ICF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Horizon Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

101 Avoca Ln
Altavista, VA 24517
Phone (434) 369-7187

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1891105607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "address_2": "FIFTH FLOOR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-485-8861",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVOCA LN",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171154",
            "telephone_number": "434-369-7187",
            "fax_number": "434-369-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "434-485-8861",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altavista ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altavista, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.