Healthcare Provider Details
I. General information
NPI: 1134124787
Provider Name (Legal Business Name): NEW HORIZON NH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2005
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
635 SE 17TH ST
OCALA FL
34471-4428
US
IV. Provider business mailing address
635 SE 17TH ST
OCALA FL
34471-4428
US
V. Phone/Fax
- Phone: 352-629-7921
- Fax: 352-732-8804
- Phone: 352-629-7921
- Fax: 352-732-8804
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | SNF1637096 |
| License Number State | FL |
VIII. Authorized Official
Name:
MOSHE
SCHEINER
Title or Position: CEO
Credential:
Phone: 813-557-6200