Provider Demographics
NPI:1689019333
Name:NEW HORIZON EAST, INC.
Entity Type:Organization
Organization Name:NEW HORIZON EAST, INC.
Other - Org Name:NEW HORZION OF TAMARAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BENNETT-RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-554-9033
Mailing Address - Street 1:7106 NW 84TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4878
Mailing Address - Country:US
Mailing Address - Phone:954-554-9033
Mailing Address - Fax:
Practice Address - Street 1:8112 NW 74TH TER
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4861
Practice Address - Country:US
Practice Address - Phone:954-554-9033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10474310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility