MEDICARE: NEW HORIZONS HEALTHCARE AGENCY LLC

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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356299184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS HEALTHCARE AGENCY LLC

Provider Business Mailing Address
First Line	:	3269 HIGHWAY 42
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4446
Country	:	US
Telephone Number	:	516-497-2180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3269 HIGHWAY 42
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4446
Country	:	US
Telephone Number	:	516-497-2180
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER
Name	:	WOODYVES ST CYR
Credential	:
Telephone Number	:	516-497-2180

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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