National Provider Identifier Database

NEW HORIZONS DEVELOPMENTAL CTR INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

NEW HORIZONS DEVELOPMENTAL CTR INC
810 E AVE
CARRIZOZO, NM88301
Phone: 505-648-2379
Fax: 505-648-2370
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for NEW HORIZONS DEVELOPMENTAL CTR INC

NPI Number 1700948999
Legal business name
LBN
NEW HORIZONS DEVELOPMENTAL CTR INC
Authorized official JENNY KELLY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 5085 CASA DEL SOL
  • NM License #: 5086 CASA LINDA
  • NM Medicaid: M4388
  • NM Medicaid: M6029

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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