Active NPI
New Horizons Supports & Services Inc.
- Developmental Disabilities Clinic/Center
- Jacksonville, FL
National Provider Identifier
1366052623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Jacksonville, FL
- NPI 1407647845
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
- New Horizon Pharmacy, Inc
- New Horizon Pharmacy, Inc,
- New Horizons Behavioral Health LLC
- New Horizons Healthcare Inc
- New Horizons Senior Care Services, Inc.
- New Horizons: Women'S Medical Group, P.a.
- New Jerusalem Transitional Housing LLC
- New Life Counseling and Educational Services
- New Life Counseling and Educational Services
- New Life Counseling and Educational Services Multipurpose Center Inc
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.