Horizon Ridge Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HORIZON RIDGE SURGERY CENTER LLC

Practice address

10561 Jeffreys St Ste 130
Henderson, NV 89052-4267

Phone

(702) 724-8900

Fax

(702) 982-8854

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Eric Boon

Title

Officer/Authorized Official

Phone

(480) 567-0269

Specialties & licenses 1

Addresses

Other names 1

• Horizon Ridge Surgery Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1992393912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-724-8900",
            "fax_number": "702-982-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-724-8900",
            "fax_number": "702-982-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON RIDGE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Horizon Ridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Ridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makayla Hopson
• Horizon Family Therapy & Wellness, Inc
• Horizon Imaging Center, LLC
• Horizon Park Dental
• Horizon Ridge Dental LLC
• Horizon Surgical Center, LLC
• Horizon View Pharmacy, Inc.
• Brianna Younique Horne
• Gladys Joan Horner
• Charmaine Hornick, CEO

• Ambulatory Surgical Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.