New Horizons Group Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-026-911 Issued in NC

Legal business name

NEW HORIZONS GROUP HOME

Practice address

3117 Dyke St
Fayetteville, NC 28306-2808

Phone

(910) 339-4410

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Miss Donna D. Black, RN

Title

Administrator

Phone

(910) 574-7239

Specialties & licenses 1

Addresses

Tax ID family

New Horizons Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• New Horizons Group Home

  • Mental Illness Intermediate Care Facility
  • Fayetteville, NC
  • NPI 1164641601
  NPD tax ID

Locations

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1629369012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 GRAY GOOSE LOOP",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067796",
            "telephone_number": "910-574-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 DYKE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062808",
            "telephone_number": "910-339-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-574-7239",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-026-911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope Family Practice, PC
• New Hope Residential
• New Horizon Home and Hospice Care
• New Horizons Family Practice PA
• New Horizons Group Home
• New Horizons Surgical Eye Centers PA
• New Life Community Services
• New Life Home Care
• New Massey Hill Pharmacy LLC
• New Revelation Home Care LLC

• Mental Illness Community Based Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.