Healthcare Provider Details

I. General information

NPI: 1164501912
Provider Name (Legal Business Name): NEW HORIZON INTERATED CARE, ICF-DD HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8812 ATHENS CT
ANAHEIM CA
92804-6204
US

IV. Provider business mailing address

PO BOX 4446
GARDEN GROVE CA
92842-4446
US

V. Phone/Fax

Practice location:
  • Phone: 714-229-1730
  • Fax: 714-229-1731
Mailing address:
  • Phone: 714-229-1730
  • Fax: 714-229-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. NORMA LIM YU
Title or Position: ADMINISTRATTOR
Credential: RN
Phone: 714-229-1730