Fresh Start Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-023-115 Issued in NC

Legal business name

FRESH START SERVICES, INC.

Practice address

1102 Edna St
Shelby, NC 28152-8970

Phone

(704) 645-8888

Fax

(704) 645-8900

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rick Taylor

Title

Owner

Phone

(704) 309-3758

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fresh Start Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fresh Start Services

  • Preferred Provider Organization
  • Shelby, NC
  • NPI 1093832420
  NPD tax ID
• Fresh Start Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Salisbury, NC
  • NPI 1760535371
  NPD tax ID

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669525465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N LONG ST",
            "address_2": "P.O.BOX 4084",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444428",
            "telephone_number": "704-645-8888",
            "fax_number": "104-645-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 EDNA ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528970",
            "telephone_number": "704-645-8888",
            "fax_number": "704-645-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-309-3758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-023-115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603612",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Fox, D.C.
• Marie Celeste Franklin, MA, LPCA-A, NCC
• Richard Clifton Franklin, MD
• Robbie Freeman, DC
• Fresh Start Services
• Gary Friedman, M.S.
• Jacob Friedman, MD
• G Stephen Bell DDS Ms PA
• Emily Cecka Gaffney, PT, DPT
• Jodi Galla, M.D.

• Mental Illness Community Based Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• 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.