MEDICARE: A NEW HORIZON ADULT DAYCARE 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1598539108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW HORIZON ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	3192 W HALLANDALE BEACH BLVD STE A
Second Line	:
City	:	HALLANDALE
State	:	FL
Zip	:	33009-5164
Country	:	US
Telephone Number	:	615-499-2154
Fax Number	:

Provider Business Practice Location Address
First Line	:	3192 W HALLANDALE BEACH BLVD STE A
Second Line	:
City	:	HALLANDALE
State	:	FL
Zip	:	33009-5164
Country	:	US
Telephone Number	:	615-499-2154
Fax Number	:

Authorized Official
Title or Position	:	OPERATOR
Name	:	JOSE RICARDO RUIZ VALDES
Credential	:
Telephone Number	:	615-499-2154

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	12/04/2023

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