HORIZON HEALTHCARE, INC (NPI# 1760408876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760408876 |
| Entity Type | Organization |
| Organization Name | HORIZON HEALTHCARE, INC |
| Practice Address |
217 Wisconsin Ave Suite 211 Waukesha WI 53186-4946 |
| Mailing Address |
285 N Janacek Rd Brookfield WI 53045-6102 |
| Practice Telephone | 4143066550 |
| Practice Fax Number | 4143066550 |
| Mailing Telephone | 4143765577 |
| Mailing Fax Number | 4143765577 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DARREN MATAVKA (VICE PRESIDENT) |
| Authorized Official Telephone | 4143016383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WI | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
WI | Behavioral Health & Social Service Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42160621 | 05 | |
| WI | 42160600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003311176 | Horizon Healthcare, Inc | Nurse Practitioner | 1146 Grant St, Beloit, WI 53511-4101 | 2018-03-29 |
| 1609371772 | Horizon Healthcare, Inc | Nurse Practitioner | 617 N 3rd Ave, Wausau, WI 54401-2908 | 2018-03-29 |
| 1265937338 | Horizon Healthcare, Inc | Nurse Practitioner | 1231 W Historic Mitchell St, Milwaukee, WI 53204-3330 | 2018-03-29 |
| 1689805426 | Horizon Healthcare, Inc | Counselor | 285 N Janacek Rd, Brookfield, WI 53045-6102 | 2009-07-28 |
| 1013931625 | Horizon Healthcare, Inc | Counselor | 101 E. Pier Street, Port Washington, WI 53074-2242 | 2006-07-27 |
| 1639193212 | Horizon Healthcare, Inc | Clinic/Center | 5408 W Burleigh St, Milwaukee, WI 53210-1624 | 2006-07-27 |
| 1598188542 | Horizon Healthcare, Inc | Nurse Practitioner | 1126 S 70th St, Suite S507, West Allis, WI 53214-3151 | 2014-01-28 |
| 1194158915 | Horizon Healthcare, Inc | Counselor | 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203-1908 | 2013-08-15 |
| 1225052830 | Horizon Healthcare, Inc | Clinic/Center | 4650 S Howell Ave, Milwaukee, WI 53207-5908 | 2006-07-27 |
| 1043234628 | Horizon Healthcare, Inc | Counselor | 4325 S 60th St, Suite 3, Greenfield, WI 53220-3508 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HORIZON HEALTHCARE, INC. | 4650 S Howell Ave, Milwaukee, WI 53207-5906 |
| New York State Corporations | HORIZON HEALTHCARE, INC. | 115b Marine St., Farmingdale, New York 11735 |
| Street Address |
217 WISCONSIN AVE SUITE 211 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044955 | William Herman Koenig | Dentist | 217 Wisconsin Ave, Waukesha, WI 53186 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917609 | Choice 2 Change Therapy, Inc. | Counselor | 217 Wisconsin Ave Ste 114, Waukesha, WI 53186-4946 | 2019-02-01 |
| 1851864029 | Daniel Chadwick | Counselor | 741 N Grand Ave Ste 204, Waukesha, WI 53186-4841 | 2019-01-09 |
| 1376021782 | Jasen Alan Eberhardt | Counselor | 223 Wisconsin Ave Ste B, Waukesha, WI 53186-4968 | 2018-07-30 |
| 1952601833 | Heidi J Rubio | Counselor | 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 | 2010-10-26 |
| 1477793180 | Sarah M Smith | Counselor | W231n1440 Corporate Ct # 310, Waukesha, WI 53186-1303 | 2009-02-21 |
| 1952577488 | Patricia Rose Gutierrez | Counselor | 147 Randall St, Waukesha, WI 53188-3528 | 2008-05-05 |
| 1902091135 | Tamara L Erickson | Counselor | 2314 Grandview Blvd, Suites 301 & 110, Waukesha, WI 53188-1675 | 2007-09-11 |
| 1275734105 | Denise Louise Drum | Counselor | 407 Pilot Ct Ste 400, Waukesha, WI 53188-2466 | 2007-05-29 |
| 1124182126 | David Poehlmann | Counselor | 2422 N Grandview Blvd, Suite 501, Waukesha, WI 53188-6105 | 2006-12-21 |
| 1629132840 | Maribeth Rose Dettlaff | Counselor | 500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 | 2006-12-21 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.