Provider Demographics
NPI:1972962926
Name:NEW HORIZON THERAPY CENTER LLC
Entity Type:Organization
Organization Name:NEW HORIZON THERAPY CENTER LLC
Other - Org Name:NEW HORIZON THERAPY CENTER LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-886-2624
Mailing Address - Street 1:3355 HIAWATHA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2441
Mailing Address - Country:US
Mailing Address - Phone:612-886-2624
Mailing Address - Fax:612-886-2618
Practice Address - Street 1:3355 HIAWATHA AVE STE 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2441
Practice Address - Country:US
Practice Address - Phone:612-886-2624
Practice Address - Fax:612-886-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health