A Fresh Start Org Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

A FRESH START ORG INC

Practice address

301 S Church St Ste 153
Rocky Mount, NC 27804-5748

Phone

(252) 822-1790

Fax

(252) 577-4677

NPI assigned

Mar 7, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrianne C Hall

Title

Admin

Phone

(252) 822-1790

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1174270342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST STE 153",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045748",
            "telephone_number": "252-822-1790",
            "fax_number": "252-577-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST STE 153",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045748",
            "telephone_number": "252-822-1790",
            "fax_number": "252-577-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRESH START ORG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "252-822-1790"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.