Provider Demographics
NPI:1215027925
Name:NEW VUE, LLC
Entity Type:Organization
Organization Name:NEW VUE, LLC
Other - Org Name:NEW HORIZONS VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER MGRM
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-746-3262
Mailing Address - Street 1:1275 N. RAINBOW LOOP
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461
Mailing Address - Country:US
Mailing Address - Phone:352-746-3262
Mailing Address - Fax:352-746-7880
Practice Address - Street 1:1275 N. RAINBOW LOOP
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461
Practice Address - Country:US
Practice Address - Phone:352-746-3262
Practice Address - Fax:352-746-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4036096315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL031345900Medicaid