Organization Active NPI

New Horizons Supports & Services Inc.

  • Developmental Disabilities Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1366052623
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NEW HORIZONS SUPPORTS & SERVICES INC.
Practice address
101 Century 21 Dr Ste 203
Jacksonville, FL 32216-9293
Phone
(904) 347-9621
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Marichal Seymore
Title
Owner
Phone
(904) 347-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

101 Century 21 Dr Ste 203
Jacksonville, FL 32216-9293

Mailing address

3432 Uphill Ter
Jacksonville, FL 32225-4313
Phone (904) 347-9621

National Provider Directory

National Provider Directory

Locations

101 Century 21 Dr
Ste 203
Jacksonville, FL 32216
Phone (904) 347-9621

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": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1366052623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 UPHILL TER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254313",
            "telephone_number": "904-347-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169293",
            "telephone_number": "904-347-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS SUPPORTS & SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "MARICHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-347-9621"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.