MEDICARE: NEW HORIZONS HOME CARE, 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	251B00000X	Case Management Agency		NC

General Provider Information

NPI Number	:	1427377621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS HOME CARE, INC

Provider Business Mailing Address
First Line	:	648 CAROLINA AVE
Second Line	:	P O BOX 1969
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-7759
Country	:	US
Telephone Number	:	336-677-3843
Fax Number	:	336-677-3847

Provider Business Practice Location Address
First Line	:	648 CAROLINA AVE
Second Line	:
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-7759
Country	:	US
Telephone Number	:	336-677-3843
Fax Number	:	336-677-3847

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

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	05/27/2010

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