Fresh Beginnings Services, LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

FRESH BEGINNINGS SERVICES, LLC

Doing business as

Fresh Beginnings Services, LLC

Practice address

6104 South Loop East
Houston, TX 77087-7708

Phone

(713) 530-4192

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Wynnette Williams

Title

Ceo

Phone

(713) 530-4192

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Fresh Beginnings Services, LLC Doing business as

Electronic endpoints 2

Tax ID family

Fresh Beginnings Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fresh Beginnings Services, LLC

  • Private Vehicle
  • Houston, TX
  • NPI 1225689243
  NPD tax ID

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1750903258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40292",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772400292",
            "telephone_number": "713-530-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 SOUTH LOOP EAST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770877708",
            "telephone_number": "713-530-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH BEGINNINGS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WYNNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-530-4192"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "00000000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "delivery",
            "address_1": "6104 South Loop East",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770877708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "referrals",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Houston",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "6104 South Loop East",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770877708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresh Beginnings Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Behavioral Disturbances) in Houston, TX
• Providers in Houston, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.