Organization Active NPI

New Horizon Residential Services L.L.C

  • Developmentally Disabled Services Day Training Agency
  • Charlotte, NC
National Provider Identifier
1710500616
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NEW HORIZON RESIDENTIAL SERVICES L.L.C
Practice address
11120 Carver Pond Rd
Charlotte, NC 28269-5007
Phone
(812) 841-9013
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Christina Moody
Title
Exective Director
Phone
(812) 841-9013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

11120 Carver Pond Rd
Charlotte, NC 28269-5007

Mailing address

11120 Carver Pond Rd
Charlotte, NC 28269-5007
Phone (812) 841-9013

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1710500616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 CARVER POND RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695007",
            "telephone_number": "812-841-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 CARVER POND RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695007",
            "telephone_number": "812-841-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON RESIDENTIAL SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-841-9013"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.