MEDICARE: NEW HORIZONS ASSISTANCE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1033250600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS ASSISTANCE CORPORATION

Provider Business Mailing Address
First Line	:	2420 E LINWOOD BLVD STE 300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-2142
Country	:	US
Telephone Number	:	816-924-4121
Fax Number	:	816-924-1109

Provider Business Practice Location Address
First Line	:	3032 CHESTNUT AVE # C
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64128-1524
Country	:	US
Telephone Number	:	816-924-4121
Fax Number	:	816-924-1109

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHARON TURNER JACKSON
Credential	:
Telephone Number	:	816-924-4121

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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