Provider Demographics
NPI:1669675997
Name:NEW HORIZONS OF NORTHWEST FLORIDA, INC
Entity Type:Organization
Organization Name:NEW HORIZONS OF NORTHWEST FLORIDA, INC
Other - Org Name:NORTHVIEW COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTHIE
Authorized Official - Middle Name:SIMONE
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-474-0866
Mailing Address - Street 1:10050 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5759
Mailing Address - Country:US
Mailing Address - Phone:850-474-0667
Mailing Address - Fax:850-474-0290
Practice Address - Street 1:10050 HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5759
Practice Address - Country:US
Practice Address - Phone:850-474-0667
Practice Address - Fax:850-474-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4049095320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities