Healthcare Provider Details

I. General information

NPI: 1376593848
Provider Name (Legal Business Name): NEW HORIZONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 DYER AVE
COLLINSVILLE CT
06019-3236
US

IV. Provider business mailing address

102 DYER AVE
COLLINSVILLE CT
06019-3236
US

V. Phone/Fax

Practice location:
  • Phone: 860-693-7777
  • Fax: 860-693-7779
Mailing address:
  • Phone: 860-693-7777
  • Fax: 860-693-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number2125-C
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2125-C
License Number StateCT

VIII. Authorized Official

Name: MICHAEL MOSIER
Title or Position: CFO
Credential:
Phone: 860-751-3900