NPIMap

Organization Active NPI

Fresh Start Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1235376526
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
5095-C Issued in NV
Legal business name
FRESH START SERVICES LLC
Practice address
2521 Apricot LN
Las Vegas, NV 89108-3555
Phone
(702) 631-3319
Fax
(702) 631-0051
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mr. Girma Zaid, MSW
Title
Executive Dir.
Phone
(702) 631-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 5095-C NV Primary

Addresses

Primary practice location

2521 Apricot LN
Las Vegas, NV 89108-3555

Mailing address

PO Box 570924
Las Vegas, NV 89157-0924
Phone (702) 631-3319

National Provider Directory

National Provider Directory
Tax ID family
Fresh Start Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1235376526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570924",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891570924",
            "telephone_number": "702-631-3319",
            "fax_number": "702-631-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 APRICOT LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083555",
            "telephone_number": "702-631-3319",
            "fax_number": "702-631-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "ZAID",
        "authorized_official_first_name": "GIRMA",
        "authorized_official_title_or_position": "EXECUTIVE DIR.",
        "authorized_official_telephone_number": "702-631-3319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "5095-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.