Provider Demographics
NPI:1578171518
Name:NEW HORIZON ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:NEW HORIZON ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORABU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:952-393-1596
Mailing Address - Street 1:6825 71ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1736
Mailing Address - Country:US
Mailing Address - Phone:952-393-1596
Mailing Address - Fax:
Practice Address - Street 1:5916 71ST AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55429-1005
Practice Address - Country:US
Practice Address - Phone:952-393-1596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness