Start Fresh Foundation Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

START FRESH FOUNDATION INC

Practice address

135 N Moon Ave
Brandon, FL 33510-4419

Phone

(813) 489-4546

Fax

(813) 381-5140

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Casandra Merritt, CBHCMS

Title

Ceo

Phone

(813) 957-2239

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1609402437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104419",
            "telephone_number": "813-489-4546",
            "fax_number": "813-381-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104419",
            "telephone_number": "813-489-4546",
            "fax_number": "813-381-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START FRESH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-957-2239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCMS100611",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Stangle, PTA
• Zachary Stanton, DO
• Star Wellness & Health LLC
• Elena Starr, MA
• Start Fresh Counseling Center, Inc
• Savannah Steele
• Sophia Elizabeth Lee Stefano, APRN
• Stein Dental Group
• Carmen Teresa Stein, LMHC
• Karen Lynn Steinbrick, ARNP

• Case Management Agency in Brandon, FL
• Providers in Brandon, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.