Provider Demographics
NPI:1740282367
Name:NEW HORIZONS HOME CARE, INC
Entity type:Organization
Organization Name:NEW HORIZONS HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:HANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-677-3843
Mailing Address - Street 1:PO BOX 1969
Mailing Address - Street 2:648 CAROLINA AVE
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-1969
Mailing Address - Country:US
Mailing Address - Phone:336-677-3843
Mailing Address - Fax:336-677-3847
Practice Address - Street 1:648 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-7759
Practice Address - Country:US
Practice Address - Phone:336-677-3843
Practice Address - Fax:336-677-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2413251E00000X, 251J00000X, 253Z00000X, 333300000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No333300000XSuppliersEmergency Response System Companies
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409584Medicaid