Provider Demographics
NPI:1114607603
Name:A NEW HORIZON LLC
Entity type:Organization
Organization Name:A NEW HORIZON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNESSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOCKLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-536-4135
Mailing Address - Street 1:105 NC HIGHWAY 710 N
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-7184
Mailing Address - Country:US
Mailing Address - Phone:910-536-4135
Mailing Address - Fax:
Practice Address - Street 1:208 UNION CHAPEL RD STE B
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-7419
Practice Address - Country:US
Practice Address - Phone:910-775-9103
Practice Address - Fax:910-775-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care