Organization Active NPI

New Horizons

  • Preferred Provider Organization
  • Monroe, LA
National Provider Identifier
1902004849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PCA10803 Issued in LA
Legal business name
NEW HORIZONS
Practice address
2406 Ferrand Street
Suite 18
Monroe, LA 71201
Phone
(318) 323-1661
Fax
(318) 323-5445
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gale M Dean
Title
Executive Directer
Phone
(318) 671-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PCA10803 LA Primary

Addresses

Primary practice location

2406 Ferrand Street
Suite 18
Monroe, LA 71201

Mailing address

2406 Ferrand St
Suite 18
Monroe, LA 71201-3235
Phone (318) 323-1661

Other identifiers 2

IdentifierTypeStateIssuer
1196331MedicaidLA
1198960MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
New Horizons7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2406 Ferrand St
Ste 18
Monroe, LA 71201
Phone (318) 323-1661

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902004849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 FERRAND ST",
            "address_2": "SUITE 18",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013235",
            "telephone_number": "318-323-1661",
            "fax_number": "318-323-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 FERRAND STREET",
            "address_2": "SUITE 18",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-323-1661",
            "fax_number": "318-323-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTER",
        "authorized_official_telephone_number": "318-671-8131"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "PCA10803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196331",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198960",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.