Active NPI
New Horizon Inc.
- Community/Behavioral Health Agency
- Gary, IN
National Provider Identifier
1184089617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1316027998
- Legal business name
- NEW HORIZON INC.
- Practice address
- 4795 Broadway
Gary, IN 46409-2403 - Phone
- (219) 887-3688
- NPI assigned
- Dec 29, 2015
- 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
- Mr. Walter L Scott, MPA, LCAC
- Title
- President
- Phone
- (219) 887-3688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1316027998 | IN | Primary |
Addresses
Primary practice location
4795 Broadway
Gary, IN 46409-2403
Mailing address
4795 Broadway
Gary, IN 46409-2403
Phone (219) 887-3688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316027998 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- New Horizon Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Gary, IN
- NPI 1316027998
Locations
4795 Broadway
Gary, IN 46409
Phone (219) 887-3688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1184089617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4795 BROADWAY",
"city": "GARY",
"state": "IN",
"postal_code": "464092403",
"telephone_number": "219-887-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 BROADWAY",
"city": "GARY",
"state": "IN",
"postal_code": "464092403",
"telephone_number": "219-887-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HORIZON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-887-3688",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPA, LCAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IN",
"license": "1316027998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316027998",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.