Organization Active NPI

Fresh Start Inc

  • Home Health Aide
  • Minneapolis, MN
National Provider Identifier
1508155151
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
FRESH START INC
Practice address
4800 28TH Ave S
Minneapolis, MN 55417-1321
Phone
(651) 222-2910
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Miss Paulettte Bosela
Title
Director
Phone
(651) 222-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

4800 28TH Ave S
Minneapolis, MN 55417-1321

Mailing address

4800 28TH Ave S
Minneapolis, MN 55417-1321
Phone (651) 222-2910

National Provider Directory

National Provider Directory

Locations

4800 28th Ave S
Minneapolis, MN 55417
Phone (651) 222-2910

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1508155151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171321",
            "telephone_number": "651-222-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171321",
            "telephone_number": "651-222-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BOSELA",
        "authorized_official_first_name": "PAULETTTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-222-2910",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.