Provider Demographics
NPI:1598474041
Name:NEW HORIZON CENTER FOR AUTISM
Entity Type:Organization
Organization Name:NEW HORIZON CENTER FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOINES
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:513-771-0157
Mailing Address - Street 1:3952 MALAER DR
Mailing Address - Street 2:
Mailing Address - City:SHARONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2621
Mailing Address - Country:US
Mailing Address - Phone:513-771-0157
Mailing Address - Fax:
Practice Address - Street 1:3952 MALAER DR
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-2621
Practice Address - Country:US
Practice Address - Phone:513-771-0157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0090554Medicaid