Healthcare Provider Details

I. General information

NPI: 1629614326
Provider Name (Legal Business Name): NEW HORIZON CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 S 17TH ST
PHOENIX AZ
85042-4507
US

IV. Provider business mailing address

6002 S 17TH ST
PHOENIX AZ
85042-4507
US

V. Phone/Fax

Practice location:
  • Phone: 602-603-1967
  • Fax: 877-408-8268
Mailing address:
  • Phone: 602-603-1967
  • Fax: 877-408-8268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OMNIYA SULIMAN
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 602-603-1967