Organization Active NPI

New Horizons Group Homes, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Brandon, FL
National Provider Identifier
1144487539
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
AL9058 Issued in FL
Legal business name
NEW HORIZONS GROUP HOMES, INC.
Practice address
109 E Clay Ave
Brandon, FL 33510-3732
Phone
(813) 571-2690
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Louise Fore, RN
Title
Nurse/Billing Agent
Phone
(813) 681-3968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AL9058 FL Primary

Addresses

Primary practice location

109 E Clay Ave
Brandon, FL 33510-3732

Mailing address

PO Box 963
Brandon, FL 33509-0963
Phone (813) 571-2690

Other identifiers 1

IdentifierTypeStateIssuer
680153696MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1144487539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090963",
            "telephone_number": "813-571-2690",
            "fax_number": "813-643-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CLAY AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103732",
            "telephone_number": "813-571-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FORE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "NURSE/BILLING AGENT",
        "authorized_official_telephone_number": "813-681-3968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "AL9058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680153696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.