Healthcare Provider Details

I. General information

NPI: 1619013091
Provider Name (Legal Business Name): NEW HORIZONS ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 EAST YANDELL DRIVE
EL PASO TX
79902
US

IV. Provider business mailing address

1817 EAST YANDELL DRIVE
EL PASO TX
79902
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-3357
  • Fax: 915-544-4424
Mailing address:
  • Phone: 915-544-3357
  • Fax: 915-544-4424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number000345900
License Number StateTX

VIII. Authorized Official

Name: MR. HECTOR OMAR TORRES
Title or Position: OWNER
Credential: OWNER
Phone: 915-544-3357