Healthcare Provider Details

I. General information

NPI: 1053791574
Provider Name (Legal Business Name): NEW HORIZON HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 06/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3683 SILVER BLUFF RD
AIKEN SC
29803-6983
US

IV. Provider business mailing address

3683 SILVER BLUFF RD
AIKEN SC
29803-6983
US

V. Phone/Fax

Practice location:
  • Phone: 803-257-0578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHCP-0093
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberIHCP-0093
License Number StateSC

VIII. Authorized Official

Name: MR. JOE SEAMON
Title or Position: MANAGER
Credential:
Phone: 803-257-0578