Organization Active NPI

Creating a New Start LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1194320747
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATING A NEW START LLC
Practice address
3904 Apperson Dr
Raleigh, NC 27610-6156
Phone
(919) 802-3704
NPI assigned
Dec 2, 2020
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Shamekia Daniels
Title
Owner
Phone
(919) 802-3704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3904 Apperson Dr
Raleigh, NC 27610-6156

Mailing address

3904 Apperson Dr
Raleigh, NC 27610-6156
Phone (919) 802-3704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1194320747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 APPERSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106156",
            "telephone_number": "919-802-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 APPERSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106156",
            "telephone_number": "919-802-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING A NEW START LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SHAMEKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-802-3704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.