Organization Active NPI

Horizons Residential Care Center

  • Intellectual Disabilities Intermediate Care Facility
  • Winston Salem, NC
National Provider Identifier
1437236296
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HORIZONS RESIDENTIAL CARE CENTER
Practice address
5900 Bethabara Rark Blvd.
Winston Salem, NC 27106-2185
Phone
(336) 837-2072
Fax
(336) 661-2185
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Richard Alan Anderson
Title
President & Ceo
Phone
(336) 837-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

5900 Bethabara Rark Blvd.
Winston Salem, NC 27106-2185

Mailing address

103 Horizons LN
Rural Hall, NC 27045-9819
Phone (336) 837-2072

Other identifiers 1

IdentifierTypeStateIssuer
340602HMedicaidNC

Other names 1

  • Arches Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G241

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE ARCHES-HORIZONS RESIDENTIAL CARE CENTER
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 16, 1992
Last certification
Mar 5, 2025
Beds
10
Ownership / control type
Private (non-profit)
Facility address
5900 Bethabara Park Boulevard
Winston Salem, NC 27106

National Provider Directory

National Provider Directory
Tax ID family
Horizons Residential Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Horizons Ln
Rural Hall, NC 27045

5900 Bethabara Park Blvd
Winston Salem, NC 27106
Phone (336) 837-2072

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1437236296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HORIZONS LN",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459819",
            "telephone_number": "336-837-2072",
            "fax_number": "336-661-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BETHABARA RARK BLVD.",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062185",
            "telephone_number": "336-837-2072",
            "fax_number": "336-661-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS RESIDENTIAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "336-837-2072"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340602H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arches",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arches",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.