Provider Demographics
NPI:1255493821
Name:NEW HORIZONS HOMECARE
Entity Type:Organization
Organization Name:NEW HORIZONS HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:DENENE
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:803-366-5005
Mailing Address - Street 1:PO BOX 37058
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-0517
Mailing Address - Country:US
Mailing Address - Phone:803-366-5005
Mailing Address - Fax:803-366-5065
Practice Address - Street 1:2025 EBENEZER RD STE B
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1069
Practice Address - Country:US
Practice Address - Phone:803-366-5005
Practice Address - Fax:803-366-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCEX0667251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based