Active NPI
Fresh Start Care LLC
- Assisted Living Facility
- Sacramento, CA
National Provider Identifier
1144067828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FRESH START CARE LLC
- Practice address
- 801 Parklin Ave
Sacramento, CA 95831-1510 - Phone
- (916) 730-4342
- Fax
- (916) 473-2646
- NPI assigned
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalie Sullivan
- Title
- Ceo
- Phone
- (916) 730-4342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
801 Parklin Ave
Sacramento, CA 95831-1510
Mailing address
801 Parklin Ave
Sacramento, CA 95831-1510
Phone (916) 730-4342
Other names 1
- Fresh Start Care 1
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1144067828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PARKLIN AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958311510",
"telephone_number": "916-730-4342",
"fax_number": "916-473-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PARKLIN AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958311510",
"telephone_number": "916-730-4342",
"fax_number": "916-473-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH START CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "ROSALIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-730-4342"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fresh Start Care 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.