Healthcare Provider Details

I. General information

NPI: 1104742261
Provider Name (Legal Business Name): NEW HORIZONS CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 BROADWAY ST
DURHAM NC
27701-2402
US

IV. Provider business mailing address

112 BROADWAY ST
DURHAM NC
27701-2402
US

V. Phone/Fax

Practice location:
  • Phone: 919-638-5963
  • Fax: 919-323-4544
Mailing address:
  • Phone: 919-638-5963
  • Fax: 919-323-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TANISHA RENEE ROYSTER
Title or Position: OWNER
Credential: QP, BS
Phone: 919-638-5963