Fresh Start Vegas LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRESH START VEGAS LLC

Practice address

400 S 4TH St Ste 500
Las Vegas, NV 89101-6207

Phone

(702) 849-0460

Fax

(702) 920-7648

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Rossi Poole

Title

Owner

Phone

(702) 849-0460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1669949566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "702-849-0460",
            "fax_number": "702-920-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "702-849-0460",
            "fax_number": "702-920-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "ROSSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-849-0460"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Air and Sunshine Family Services
• Fresh Start Family Services
• Fresh Start Foundation LLC
• Fresh Start Services LLC
• Fresh Start Services, LLC
• Luke Matthew Freteluco
• Payton Freund
• Reed Frevola
• Courtney Anna Frey
• Kathleen Frey

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.