Organization Active NPI

New Horizon Support Service

  • Foster Care Agency
  • Traverse City, MI
National Provider Identifier
1093003477
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AM280269470 Issued in MI
Legal business name
NEW HORIZON SUPPORT SERVICE
Practice address
2425 E Carriage Hill Dr
Traverse City, MI 49686-5104
Phone
(231) 933-9088
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Mary Burke
Title
President
Phone
(231) 929-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X AM280269470 MI Primary

Addresses

Primary practice location

2425 E Carriage Hill Dr
Traverse City, MI 49686-5104

Mailing address

1650 Barlow St Ste 9
P.O. Box 6952
Traverse City, MI 49686-4721

National Provider Directory

National Provider Directory

Locations

1650 Barlow St
Ste 9
Traverse City, MI 49686

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1093003477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BARLOW ST STE 9",
            "address_2": "P.O. BOX 6952",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E CARRIAGE HILL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865104",
            "telephone_number": "231-933-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON SUPPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-929-4200"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AM280269470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.