Healthcare Provider Details

I. General information

NPI: 1366394793
Provider Name (Legal Business Name): NEW HORIZON SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12709 CHARITY HILL CT
RIVERVIEW FL
33569-5603
US

IV. Provider business mailing address

12709 CHARITY HILL CT
RIVERVIEW FL
33569-5603
US

V. Phone/Fax

Practice location:
  • Phone: 813-412-9377
  • Fax:
Mailing address:
  • Phone: 813-412-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOYSON MATHEW
Title or Position: PRESIDENT
Credential:
Phone: 813-412-9377