Healthcare Provider Details

I. General information

NPI: 1598474041
Provider Name (Legal Business Name): NEW HORIZON CENTER FOR AUTISM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3952 MALAER DR
SHARONVILLE OH
45241-2621
US

IV. Provider business mailing address

3952 MALAER DR
SHARONVILLE OH
45241-2621
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-0157
  • Fax:
Mailing address:
  • Phone: 513-771-0157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: PAMELA GOINES
Title or Position: CEO/ DIRECTOR OF OPERATIONS
Credential: M.ED.
Phone: 513-771-0157