Organization Active NPI

Start Fresh Academy

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1811417488
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
START FRESH ACADEMY
Practice address
518 North Ave Ste C
Rock Hill, SC 29732-3050
Phone
(980) 349-7981
NPI assigned
Jun 23, 2017
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Marco Terrell Hutchinson, MBA
Title
Cfo
Phone
(980) 349-7981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

518 North Ave Ste C
Rock Hill, SC 29732-3050

Mailing address

1360 Pampas Cir
Rock Hill, SC 29732-3853
Phone (980) 349-7981

National Provider Directory

National Provider Directory

Locations

518 North Ave
Ste C
Rock Hill, SC 29732
Phone (980) 349-7981

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1811417488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 PAMPAS CIR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323853",
            "telephone_number": "980-349-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 NORTH AVE STE C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323050",
            "telephone_number": "980-349-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START FRESH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "980-349-7981",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.