Provider Demographics
NPI:1598539108
Name:A NEW HORIZON ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:A NEW HORIZON ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-499-2154
Mailing Address - Street 1:3192 W HALLANDALE BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5164
Mailing Address - Country:US
Mailing Address - Phone:615-499-2154
Mailing Address - Fax:
Practice Address - Street 1:3192 W HALLANDALE BEACH BLVD STE A
Practice Address - Street 2:
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009-5164
Practice Address - Country:US
Practice Address - Phone:615-499-2154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care