Healthcare Provider Details

I. General information

NPI: 1457269854
Provider Name (Legal Business Name): NEW HORIZONS SOCIAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 W BAKERVIEW RD UNIT 114
BELLINGHAM WA
98226-9321
US

IV. Provider business mailing address

557 W BAKERVIEW RD UNIT 114
BELLINGHAM WA
98226-9321
US

V. Phone/Fax

Practice location:
  • Phone: 954-464-0256
  • Fax:
Mailing address:
  • Phone: 954-464-0256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: COSTAN JAYA BALGOBIN
Title or Position: OWNER
Credential: BA
Phone: 954-464-0256