MEDICARE: NEW HORIZONS ADULT DAY SERVICES, INC

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	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275707440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS ADULT DAY SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 1969
Second Line	:
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-1969
Country	:	US
Telephone Number	:	336-677-3843
Fax Number	:	336-677-3847

Provider Business Practice Location Address
First Line	:	1917 OLD HWY 421 WEST
Second Line	:	1917 WEST MAIN ST
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-7628
Country	:	US
Telephone Number	:	336-677-3843
Fax Number	:	336-677-3847

Authorized Official
Title or Position	:	ADMINISTRATIVE ADVISOR
Name	:	LEAH H HANES
Credential	:
Telephone Number	:	336-677-3843

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	03/29/2018

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