MEDICARE: NEW HORIZON HOMEHEALTHCARE

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

General Provider Information

NPI Number	:	1922520436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON HOMEHEALTHCARE

Provider Business Mailing Address
First Line	:	11811 SHAKER BLVD STE 201
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1927
Country	:	US
Telephone Number	:	216-291-7094
Fax Number	:	216-666-2402

Provider Business Practice Location Address
First Line	:	11811 SHAKER BLVD STE 201
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1927
Country	:	US
Telephone Number	:	216-291-7094
Fax Number	:	216-666-2402

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAHAD IGAL
Credential	:
Telephone Number	:	614-377-3444

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	02/14/2020

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