Healthcare Provider Details

I. General information

NPI: 1699575126
Provider Name (Legal Business Name): NEW HORIZONS RESIDENTIAL & CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4244 CAROLINE AVE
TOLEDO OH
43612-1926
US

IV. Provider business mailing address

4244 CAROLINE AVE
TOLEDO OH
43612-1926
US

V. Phone/Fax

Practice location:
  • Phone: 419-389-7677
  • Fax: 419-779-7742
Mailing address:
  • Phone: 419-389-7677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEASIA L COLEMAN
Title or Position: 0WNER
Credential:
Phone: 419-389-7677