New Horizons Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

NEW HORIZONS RESIDENTIAL LLC

Practice address

6318 W Miami St
Phoenix, AZ 85043-1935

Phone

(925) 470-9032

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Charles PenixNPI 1154049849

Title

Owner

Phone

(925) 470-9032

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charles Penix

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1154049849
  NPD Authorized official

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1306482583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 W MIAMI ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431935",
            "telephone_number": "925-470-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 W MIAMI ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431935",
            "telephone_number": "925-470-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "PENIX",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-470-9032"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizon Youth Homes, Inc
• New Horizon Youth Homes, Inc (New Horizon Community Care)
• New Horizons Counseling Service Inc.
• New Horizons Counseling Service Inc.
• New Horizons MH LLC
• New Image Family Medicine LLC
• New Journey Residential
• New Leaf Behavioral Health LLC
• New Legacy Treatment Center LLC
• New Life Adult Behavioral Services

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.