New Horizon Residential Service

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• 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.

Verify at the official NPI Registry.