Healthcare Provider Details

I. General information

NPI: 1366258303
Provider Name (Legal Business Name): NEU HORIZONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 W CHANDLER BLVD STE 225
CHANDLER AZ
85225-7534
US

IV. Provider business mailing address

2 E OAKWOOD HILLS DR
CHANDLER AZ
85248-6200
US

V. Phone/Fax

Practice location:
  • Phone: 480-322-2099
  • Fax:
Mailing address:
  • Phone: 480-322-2099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: IRFAN AHMED
Title or Position: MANAGER
Credential:
Phone: 480-322-2099