MEDICARE: CENTERS FOR NEW HORIZONS, 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	253J00000X	Foster Care Agency	078743	IL

General Provider Information

NPI Number	:	1740587898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR NEW HORIZONS, INC

Provider Business Mailing Address
First Line	:	4150 S. MARTIN LUTHER KING JR. DRIVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-3308
Country	:	US
Telephone Number	:	773-373-1000
Fax Number	:	773-373-0063

Provider Business Practice Location Address
First Line	:	4305A S. MARTIN LUTHER KING JR. DRIVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-3308
Country	:	US
Telephone Number	:	773-451-1380
Fax Number	:	773-924-1470

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. SOKONI KARANJA
Credential	:
Telephone Number	:	773-373-1019

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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