Fresh Start Health Care Services,Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

RN9368071 Issued in FL

Legal business name

FRESH START HEALTH CARE SERVICES,INC

Practice address

215 W Jefferson St Ste E
Quincy, FL 32351-2356

Phone

(850) 556-2303

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary A Mathews, RN

Title

President

Phone

(850) 556-2303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryanne Mathews, LPN

  • Licensed Practical Nurse
  • Quincy, FL
  • NPI 1629370556
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1730578329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SPARKLEBERRY BLVD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323517282",
            "telephone_number": "850-556-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W JEFFERSON ST STE E",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512356",
            "telephone_number": "850-556-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START HEALTH CARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-556-2303",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9368071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Health (Gadsden County Health Deparment)
• Camry S Floyd
• Nikitah Tankoh Fonbah
• Lonnie Ford III, DC, CCPA
• Caron A Forehand, OWNER
• James A Fullerton, PTA
• Taylor C Fultineer
• Keisey Fumero
• Gadsden Community Hospital
• Gadsden County Head Start Program

• Nursing Care Agency in Quincy, FL
• Providers in Quincy, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.