Provider Demographics
NPI:1619013091
Name:NEW HORIZONS ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:NEW HORIZONS ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:915-544-3357
Mailing Address - Street 1:1817 EAST YANDELL DRIVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:915-544-3357
Mailing Address - Fax:915-544-4424
Practice Address - Street 1:1817 EAST YANDELL DRIVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:915-544-3357
Practice Address - Fax:915-544-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000345900261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000345900Medicaid