| Care Horizon Inc. | |
|
120 Courthouse Square Toledo IL 62468-9998 | |
| (217) 849-3803 | |
| (217) 849-3804 |
| Full Name | Care Horizon Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Courthouse Square, Toledo, Illinois |
| Authorized Official Name and Position | Deborah A Matthew (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2178493803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Horizon Inc. Po Box 385 120 Courthouse Square Toledo IL 62468-9998 Ph: (217) 849-3803 | Care Horizon Inc. 120 Courthouse Square Toledo IL 62468-9998 Ph: (217) 849-3803 |
| NPI Number | 1164633012 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 06/27/2017 |
| Medicare PECOS PAC ID | 4385690296 |
|---|---|
| Medicare Enrollment ID | O20050323001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164633012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Archana Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033266044 PECOS PAC ID: 0840258950 Enrollment ID: I20041221000585 |
| Provider Name | Hillarie A Mieure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255757043 PECOS PAC ID: 5698041606 Enrollment ID: I20171018003648 |
Cumberland Associates Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Courthouse Square, Toledo, IL 62468 Phone: 217-849-3803 Fax: 217-849-3804 |