Provider Demographics
NPI:1245496348
Name:NEW HORIZON ADULT CARE ALTERNATIVES, INC
Entity type:Organization
Organization Name:NEW HORIZON ADULT CARE ALTERNATIVES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-687-8851
Mailing Address - Street 1:1345 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3910
Mailing Address - Country:US
Mailing Address - Phone:541-687-8851
Mailing Address - Fax:541-687-6525
Practice Address - Street 1:1345 OLIVE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3910
Practice Address - Country:US
Practice Address - Phone:541-687-8851
Practice Address - Fax:541-687-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-2051251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care