NEW HORIZONS LEGACY
NPI 1386036192
Intermediate Care Facility, Intellectual Disabilities in Texarkana, TX

Active since March 03, 2015CLIA 45D0920897 · Waiver
4939 ELIZABETH ST, TEXARKANA, TX 75503(903) 832-0429(903) 255-0385 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 45D0920897
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 10-13-2026

About NEW HORIZONS LEGACY

This page provides the complete NPI Profile along with additional information for New Horizons Legacy, a provider established in Texarkana, Texas operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1386036192 assigned on March 2015. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Steve Moore (Managing Member)

NPI
1386036192 Verify this NPI
Provider Name
NEW HORIZONS LEGACY
Entity Type
Organization
Location Address
4939 ELIZABETH ST TEXARKANA, TX 75503
Location Phone
(903) 832-0429
Location Fax
(903) 255-0385
Mailing Address
4939 ELIZABETH ST TEXARKANA, TX 75503
Mailing Phone
(903) 832-0429
Mailing Fax
(903) 255-0385
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2015
Last Update Date
03-03-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVE MOORE

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(903) 832-0429

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0920897
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
October 14, 2024
Certificate Expiration Date
October 13, 2026
Laboratory Director
CATHY P. NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Horizons Legacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386036192, enumerated as an "organization" on March 03, 2015.

The provider is located at 4939 ELIZABETH ST TEXARKANA, TX 75503 and the phone number is (903) 832-0429.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.