Active NPI
New Horizon Residential Service
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Suffolk, VA
National Provider Identifier
1851167191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- NEW HORIZON RESIDENTIAL SERVICE
- Practice address
- 3061 Godwin Blvd Apt 435
Suffolk, VA 23434-6866 - Phone
- (757) 541-7199
- NPI assigned
- Nov 28, 2023
- Last updated
- Nov 28, 2023
- 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
- Shaniqah McLeod
- Title
- Owner
- Phone
- (757) 541-7199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3061 Godwin Blvd Apt 435
Suffolk, VA 23434-6866
Mailing address
3061 Godwin Blvd Apt 435
Suffolk, VA 23434-6866
Phone (757) 541-7199
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1851167191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 GODWIN BLVD APT 435",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346866",
"telephone_number": "757-541-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 GODWIN BLVD APT 435",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346866",
"telephone_number": "757-541-7199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HORIZON RESIDENTIAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "SHANIQAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-541-7199"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.