Organization Active NPI

New Horizons O & P Effingham LLC

  • Prosthetic/Orthotic Supplier
  • Effingham, IL
National Provider Identifier
1073382784
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW HORIZONS O & P EFFINGHAM LLC
Practice address
606 S 4TH St
Effingham, IL 62401-3712
Phone
(308) 698-0500
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW HORIZONS ORTHOTICS & PROSTHETICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Sandi Olson
Title
Business Manager
Phone
(308) 698-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

606 S 4TH St
Effingham, IL 62401-3712

Mailing address

8 W 56TH St Ste 3B
Kearney, NE 68847-0500
Phone (308) 698-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809000338 IL DME Supplier - Certified Orth/Pros/Pedorthist 3274070149 Practice locations: Effingham, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
New Horizons O & P Effingham LLC606 S 4TH St, Effingham, IL 62401-3712(217) 690-4607 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Sep 17, 2024

National Provider Directory

National Provider Directory
Part of
New Horizons Orthotics Prosthetics LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

606 S 4th St
Effingham, IL 62401
Phone (217) 342-6288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1073382784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W 56TH ST STE 3B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470500",
            "telephone_number": "308-698-0500",
            "fax_number": "308-698-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013712",
            "telephone_number": "308-698-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS O & P EFFINGHAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HORIZONS ORTHOTICS & PROSTHETICS LLC",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "308-698-0500"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.