NPIMap

Organization Active NPI

Horizon Village

  • Substance Abuse Rehabilitation Facility
  • Sanborn, NY
National Provider Identifier
1902063522
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
101YA0400X Issued in NY
Legal business name
HORIZON VILLAGE
Practice address
6301 Inducon Dr E
Sanborn, NY 14132-9014
Phone
(716) 731-2030
Fax
(716) 731-3010
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Ms. Maryetta LewisNPI 1245529890
Title
Counselor
Phone
(716) 731-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 101YA0400X NY Primary

Addresses

Primary practice location

6301 Inducon Dr E
Sanborn, NY 14132-9014

Mailing address

6301 Inducon Dr E
Sanborn, NY 14132-9014
Phone (716) 731-2030

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2132100Horizon Village Inc6301 Inducon Drive East, Sanborn, NY 14132Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

6301 Inducon Dr E
Sanborn, NY 14132
Phone (716) 731-2030

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1902063522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329014",
            "telephone_number": "716-731-2030",
            "fax_number": "716-731-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329014",
            "telephone_number": "716-731-2030",
            "fax_number": "716-731-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARYETTA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "716-731-2030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanborn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.