Fresh Start, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

06955 Issued in OH

Legal business name

FRESH START, INC.

Practice address

4807 Cedar Ave
Cleveland, OH 44103-4437

Phone

(216) 431-4979

Fax

(216) 431-5793

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ruby J Black, M.ED.

Title

Chief Operating Officer

Phone

(216) 431-2554

Specialties & licenses 1

Addresses

Tax ID family

Fresh Start Inc2 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.

• Fresh Start, Inc.

  • Substance Abuse Rehabilitation Facility
  • Cleveland, OH
  • NPI 1235175480
  NPD tax ID

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477623981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441041501",
            "telephone_number": "216-431-2554",
            "fax_number": "216-431-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034437",
            "telephone_number": "216-431-4979",
            "fax_number": "216-431-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-431-2554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "06955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxime Freire, MD
• Amanda French, LPCC
• Cristina Frentiu
• Nicole Marie Frerichs, D.O.
• Fresh Start, Inc.
• Dustin Freshwater, PHARMD
• Daniel R. Freson, O.D.
• Fresshprep LLC
• Natalia Elizabeth Fretes Oviedo, MD
• Kristina N Fretter, CDCA

• Substance Abuse Rehabilitation Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.