Healthcare Provider Details

I. General information

NPI: 1306118005
Provider Name (Legal Business Name): NEW HORIZON ADULT ADULT ACTIVITY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 10/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913A SW 87 AVE
MIAMI FL
33174
US

IV. Provider business mailing address

913A SW 87 AVE
MIAMI FL
33174
US

V. Phone/Fax

Practice location:
  • Phone: 305-525-6824
  • Fax: 305-266-9335
Mailing address:
  • Phone: 305-525-6824
  • Fax: 305-266-9335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9162
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number9162
License Number StateFL

VIII. Authorized Official

Name: ISRAY EXPOSITO RAMIREZ
Title or Position: OWNER
Credential:
Phone: 305-781-5312