NPIMap

Organization Active NPI

A Fresh Start Community Development Corporation, Inc

  • Case Management Agency
  • Goldsboro, NC
National Provider Identifier
1235368440
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
A FRESH START COMMUNITY DEVELOPMENT CORPORATION, INC
Practice address
521 Stadium Dr
Goldsboro, NC 27530-6541
Phone
(919) 330-3840
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Ms. Michelle Bryant
Title
Ceo/Owner
Phone
(919) 330-3840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Early Intervention Provider Agency 252Y00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

521 Stadium Dr
Goldsboro, NC 27530-6541

Mailing address

521 Stadium Dr
P.O. Box 61
Goldsboro, NC 27530-6541
Phone (919) 330-3840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1235368440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STADIUM DR",
            "address_2": "P.O. BOX 61",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306541",
            "telephone_number": "919-330-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STADIUM DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306541",
            "telephone_number": "919-330-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRESH START COMMUNITY DEVELOPMENT CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-330-3840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.