Provider Demographics
NPI:1316394299
Name:NEW HORIZONS HOME CARE AGENCY
Entity Type:Organization
Organization Name:NEW HORIZONS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGS-FRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-647-0279
Mailing Address - Street 1:403 WILLIAM ST STE C
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5839
Mailing Address - Country:US
Mailing Address - Phone:540-370-0141
Mailing Address - Fax:540-370-0151
Practice Address - Street 1:403 WILLIAM ST
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5839
Practice Address - Country:US
Practice Address - Phone:540-370-0141
Practice Address - Fax:540-370-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-161441251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health