Provider Demographics
NPI:1972796498
Name:NEW HORIZONS RED BIRD
Entity Type:Organization
Organization Name:NEW HORIZONS RED BIRD
Other - Org Name:NEW HORIZONS NEW HORIZONS SUNRIDGE NEW HORIZONS KENSHIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QMRP
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-728-9909
Mailing Address - Street 1:5713 NORTHBROOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:214-728-9909
Mailing Address - Fax:972-608-8925
Practice Address - Street 1:1200 RED BIRD
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048
Practice Address - Country:US
Practice Address - Phone:817-249-0149
Practice Address - Fax:972-608-8925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities