Provider Demographics
NPI:1043435993
Name:NEW HORIZONS ADULT DAY CENTER
Entity Type:Organization
Organization Name:NEW HORIZONS ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-965-1602
Mailing Address - Street 1:406 SW SCHOOL ST
Mailing Address - Street 2:SUITE 118
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-3000
Mailing Address - Country:US
Mailing Address - Phone:515-965-1602
Mailing Address - Fax:866-389-4256
Practice Address - Street 1:406 SW SCHOOL ST
Practice Address - Street 2:SUITE 118
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-3000
Practice Address - Country:US
Practice Address - Phone:515-965-1602
Practice Address - Fax:866-389-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAADS018261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0226621Medicaid