MEDICARE: NEW HORIZON RESIDENTIAL HOMES

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	:	1568278141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON RESIDENTIAL HOMES

Provider Business Mailing Address
First Line	:	117 E PALATINE RD STE 103
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-5129
Country	:	US
Telephone Number	:	312-680-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 E PALATINE RD STE 103
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-5129
Country	:	US
Telephone Number	:	312-680-6292
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ADESHALEWA ADEMOYO-OPAKUNLE
Credential	:	NP
Telephone Number	:	708-692-4082

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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Directions to “NEW HORIZON RESIDENTIAL HOMES ” Practice Location

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