Horizons Enrichment Center
LBN: Southeast Missouri State University
Horizons Enrichment Center is an health care organization with primary practice located at 2100 Themis St Ste 103C , Cape Girardeau MO 63701-5124. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Southeast Missouri State University can be contacted via phone (573) 290-5115, or through Owens, Tracy Lynne via phone (573) 290-5115.
Contact Information
Primary practice address
2100 Themis St Ste 103C
Cape Girardeau MO 63701-5124
Phone: (573) 290-5115
Fax: (573) 290-5142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1295014470 |
|---|---|
| LBN Legal business name | Southeast Missouri State University |
| DBA Doing business as | Horizons Enrichment Center |
| Authorized official | Owens, Tracy Lynne BSPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2011 |
| Last updated | Feb 15th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295014470 | NPPES |
| Missouri | MEDICAID | 1780753640 |
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