Active NPI
New Horizon Support Service
- Foster Care Agency
- Traverse City, MI
National Provider Identifier
1093003477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- AM280269470
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.