Fresh Start Community Development Corporation

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FRESH START COMMUNITY DEVELOPMENT CORPORATION

Practice address

1484 Pearman Dairy Rd
Anderson, SC 29625-2000

Phone

(888) 603-8293

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Erick L Bradshaw Sr., BS

Title

President

Phone

(864) 621-4047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1811168651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4440",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296224440",
            "telephone_number": "888-603-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 PEARMAN DAIRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252000",
            "telephone_number": "888-603-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-621-4047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawson B. Freeman, M.D.
• Leigh Mattox Freeman, LISW-CP
• Rachel Ann Freitas, FNP-BC
• Fresenius Medical Care Anderson, LLC (Fresenius Medical Care Anderson Dialysis Clinic)
• Fresenius Medical Care Anderson, LLC (Fresenius Medical Care North Anderson)
• Jose R Frialde, MD
• Stacy Frick
• Amy Marie Fricks, COTA/L
• Kayla Marko Friddle
• Ido Friedman, D.P.M

• Early Intervention Provider Agency in Anderson, SC
• Providers in Anderson, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.