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BROADOR HORIZON, INC
NPI 1104096130
Intermediate Care Facility, Intellectual Disabilities in Glen Burnie, MD

Active since March 05, 2008
199 PLYMOUTH LN, F, GLEN BURNIE, MD 21061(443) 413-0832 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broador Horizon, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADOR HORIZON, INC (NPI 1104096130) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Glen Burnie, Maryland and active in the NPI registry since March 2008. The organization lists Kevin E. Mattison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104096130
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBROADOR HORIZON, INC
Location Address199 PLYMOUTH LN, FGlen Burnie, MD 21061-5652
Mailing Address199 Plymouth Ln, FGlen Burnie, MD 21061-5652
Phone(443) 413-0832
Organization SubpartNo
Authorized OfficialKevin E. MattisonCeo · (443) 413-0832
Enumeration DateMarch 5, 2008
✔ NPI 1104096130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MD · 0290
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
199 PLYMOUTH LN, Glen Burnie, MD 21061
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broador Horizon, Inc's NPI number?

The NPI number for Broador Horizon, Inc is 1104096130. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Broador Horizon, Inc located?

Broador Horizon, Inc is located at 199 Plymouth Ln F, Glen Burnie, MD 21061. The listed phone number is (443) 413-0832.

What is Broador Horizon, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Broador Horizon, Inc was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.