Active NPI
Horizons Residential Care Center
- Intellectual Disabilities Intermediate Care Facility
- Winston Salem, NC
National Provider Identifier
1437236296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340602H | Medicaid | NC |
Other names 1
- Arches
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 Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Rural Hall, NC
- NPI 1174699987
-
- Intellectual Disabilities Intermediate Care Facility
- Rural Hall, NC
- NPI 1649356585
-
- Intellectual Disabilities Intermediate Care Facility
- Rural Hall, NC
- NPI 1770410953
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.