Organization Active NPI

Fresh Start Home Care LLC

  • In Home Supportive Care Agency
  • Burlington, NC
National Provider Identifier
1003764804
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FRESH START HOME CARE LLC
Practice address
725 Ford St
Burlington, NC 27217-2471
Phone
(404) 670-4864
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derrick Joel Bellanger Jr.
Title
Employee
Phone
(404) 670-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

725 Ford St
Burlington, NC 27217-2471

Mailing address

725 Ford St
Burlington, NC 27217-2471
Phone (404) 670-4864

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1003764804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 FORD ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172471",
            "telephone_number": "404-670-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FORD ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172471",
            "telephone_number": "404-670-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "BELLANGER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "404-670-4864",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.