NPIMap

Organization Active NPI

Fresh Start Therapy

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1568883452
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11580 Issued in FL
Legal business name
FRESH START THERAPY
Practice address
4317 SW 125TH LN
Miramar, FL 33027-6015
Phone
(954) 696-6515
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Lorena AvilaNPI 1528483328
Title
Cota /President
Phone
(954) 696-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11580 FL Primary

Addresses

Primary practice location

4317 SW 125TH LN
Miramar, FL 33027-6015

Mailing address

4317 SW 125TH LN
Miramar, FL 33027-6015

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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1568883452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 SW 125TH LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 SW 125TH LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276015",
            "telephone_number": "954-696-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "COTA /PRESIDENT",
        "authorized_official_telephone_number": "954-696-6515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "11580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.