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	251E00000X	Home Health Agency	HC2413	NC
2	253Z00000X	In Home Supportive Care Agency	HC2413	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770777401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS HOME CARE, INC

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

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	:

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

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	07/10/2013

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