Provider Demographics
NPI:1649985458
Name:NEW HORIZON ASSISTED LIVING
Entity type:Organization
Organization Name:NEW HORIZON ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOTOLANI
Authorized Official - Middle Name:
Authorized Official - Last Name:OWOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-722-1559
Mailing Address - Street 1:4751 TRAILS EDGE LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7319
Mailing Address - Country:US
Mailing Address - Phone:814-722-1559
Mailing Address - Fax:303-205-0073
Practice Address - Street 1:4406 SENECA ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3429
Practice Address - Country:US
Practice Address - Phone:814-722-1559
Practice Address - Fax:303-205-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness