Fresh Start Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FRESH START INC

Practice address

900 Henderson Ave Apt 1313
Houston, TX 77058-3809

Phone

(704) 492-1631

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Adedayo Webb

Title

President

Phone

(704) 492-1631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1295469088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HENDERSON AVE APT 1313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583809",
            "telephone_number": "704-492-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HENDERSON AVE APT 1313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583809",
            "telephone_number": "704-492-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-492-1631"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fresh Start Psychiatric Clinic
• Fresh Start Therapeutic Services LLC
• Fresh Therapeutic Group
• Fresh Therapeutic Solutions PLLC
• Fresh-N-Clean

• Mental Illness Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.