Organization Active NPI

New Horizon Youth Center LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bethesda, OH
National Provider Identifier
1023034386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1138884 Issued in OH
Legal business name
NEW HORIZON YOUTH CENTER LLC
Practice address
40060 National Rd
Bethesda, OH 43719-9763
Phone
(740) 782-0092
Fax
(740) 782-1510
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James R Degarmo
Title
Cfo
Phone
(740) 782-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1138884 OH Primary

Addresses

Primary practice location

40060 National Rd
Bethesda, OH 43719-9763

Mailing address

40060 National Rd
Bethesda, OH 43719-9763
Phone (740) 782-0092

Other identifiers 1

IdentifierTypeStateIssuer
1138884OtherOHSTATE OF OHIO CERTIFICATE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023034386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40060 NATIONAL RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199763",
            "telephone_number": "740-782-0092",
            "fax_number": "740-782-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40060 NATIONAL RD",
            "city": "BETHESDA",
            "state": "OH",
            "postal_code": "437199763",
            "telephone_number": "740-782-0092",
            "fax_number": "740-782-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON YOUTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGARMO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-782-0092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "1138884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO CERTIFICATE",
            "identifier": "1138884",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.