Active NPI
New Horizons O & P Effingham LLC
- Prosthetic/Orthotic Supplier
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- NEW HORIZONS ORTHOTICS & PROSTHETICS LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240809000338 | IL | DME Supplier - Certified Orth/Pros/Pedorthist | 3274070149 | Practice locations: Effingham, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| New Horizons O & P Effingham LLC | 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 assignment |
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.
-
- Prosthetic/Orthotic Supplier
- Grand Island, NE
- NPI 1598348278
Member Of
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.
-
- General Practice Dentistry
- Effingham, IL
- NPI 1609880491
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.