Organization Active NPI

New Horizons for Community-Bound Individuals, Inc.

Doing business as Faye Clark's New Horizons

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hialeah, FL
National Provider Identifier
1295105559
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NEW HORIZONS FOR COMMUNITY-BOUND INDIVIDUALS, INC.
Doing business as
Faye Clark's New Horizons
Practice address
1340 SE 9TH Avenue
Suite 2
Hialeah, FL 33010-5947
Phone
(305) 887-1535
Fax
(305) 887-4948
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mr. Ed Aldama
Title
Executive Director
Phone
(305) 887-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X FL Primary

Addresses

Primary practice location

1340 SE 9TH Avenue
Suite 2
Hialeah, FL 33010-5947

Mailing address

1340 S.E. 9TH Avenue
Suite 2
Hialeah, FL 33010-5947
Phone (305) 887-1535

Other identifiers 1

IdentifierTypeStateIssuer
683071496MedicaidFL

Other names 1

  • Faye Clark's New Horizons Doing business as

National Provider Directory

National Provider Directory

Locations

1340 SE 9th Ave
Ste 2
Hialeah, FL 33010
Phone (305) 887-1535

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1295105559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S.E. 9TH AVENUE",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105947",
            "telephone_number": "305-887-1535",
            "fax_number": "305-887-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SE 9TH AVENUE",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105947",
            "telephone_number": "305-887-1535",
            "fax_number": "305-887-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS FOR COMMUNITY-BOUND INDIVIDUALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "ALDAMA",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-887-1535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683071496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faye Clark's New Horizons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.