Provider Demographics
NPI:1962794651
Name:NEW HORIZON EAST INC
Entity type:Organization
Organization Name:NEW HORIZON EAST INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:BENNETT-RILRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-554-9033
Mailing Address - Street 1:8112 N. W.74 TERR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-554-9033
Mailing Address - Fax:
Practice Address - Street 1:8112 NW 74TH TER
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4861
Practice Address - Country:US
Practice Address - Phone:954-554-9033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10263 & AL10474310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility