Active NPI
Fresh Start Inc
- Home Health Aide
- Minneapolis, MN
National Provider Identifier
1508155151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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 DirectoryLocations
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.