Fresh Beginnings Group Home

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

FRESH BEGINNINGS GROUP HOME

Practice address

4626 W Valencia Dr
Laveen, AZ 85339-2365

Phone

(602) 237-5208

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Brian Campbell, MS

Title

Therapist

Phone

(480) 490-7462

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1861088833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 W VALENCIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 W VALENCIA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392365",
            "telephone_number": "602-237-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH BEGINNINGS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "480-490-7462",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Fernandez, RN
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• Marie Nicole Francois
• Sarrah Friend, FNP
• Elizabeth Fritts
• Fulcrum Elitecare LLC
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• Tamara Ellyn-Sophia Galas-Ward

• Psychiatric Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.