Provider Demographics
NPI:1083686505
Name:NEW HORIZON HOME CARE OF NC, INC
Entity Type:Organization
Organization Name:NEW HORIZON HOME CARE OF NC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-652-4672
Mailing Address - Street 1:PO BOX 1102
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-1102
Mailing Address - Country:US
Mailing Address - Phone:828-652-4672
Mailing Address - Fax:828-652-4695
Practice Address - Street 1:146 N LOGAN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-3754
Practice Address - Country:US
Practice Address - Phone:828-652-4672
Practice Address - Fax:828-652-4695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2467251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601039Medicaid