Provider Demographics
NPI:1811014459
Name:NEW HORIZONS OF MANAGEMENT, INC
Entity Type:Organization
Organization Name:NEW HORIZONS OF MANAGEMENT, INC
Other - Org Name:COLLEGE MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOPHENIA
Authorized Official - Middle Name:BETSY
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-862-9051
Mailing Address - Street 1:PO BOX 2028
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:GA
Mailing Address - Zip Code:31006-2028
Mailing Address - Country:US
Mailing Address - Phone:478-862-9051
Mailing Address - Fax:478-862-9639
Practice Address - Street 1:205 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4120
Practice Address - Country:US
Practice Address - Phone:770-227-4959
Practice Address - Fax:770-227-7686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00857502CMedicaid