Organization Active NPI

Fresh Start LLC

  • Recovery Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1295561702
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
FRESH START LLC
Practice address
1908 N Washington St
Baltimore, MD 21213-1410
Phone
(301) 573-9350
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Bernadine Yananey
Title
Owner
Phone
(301) 573-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

1908 N Washington St
Baltimore, MD 21213-1410

Mailing address

6364 Bayberry CT
Elkridge, MD 21075-6922
Phone (301) 573-9350

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1295561702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 BAYBERRY CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756922",
            "telephone_number": "301-573-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N WASHINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131410",
            "telephone_number": "301-573-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "YANANEY",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-573-9350"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.