Organization Active NPI

5280 Fresh Start,LLC

  • Substance Abuse Rehabilitation Facility
  • Aurora, CO
National Provider Identifier
1861204596
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
5280 FRESH START,LLC
Practice address
3014 Victor St
Aurora, CO 80011-2017
Phone
(720) 451-4359
NPI assigned
Jan 21, 2025
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Moses Jones IV
Title
Founder
Phone
(720) 451-4359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3014 Victor St
Aurora, CO 80011-2017

Mailing address

3912 S Carson St Unit 203
Aurora, CO 80014-7124
Phone (720) 451-4359

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D23171885280 Fresh Start, LLC3014 Victor St, Aurora, CO 80011Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1861204596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 S CARSON ST UNIT 203",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147124",
            "telephone_number": "720-451-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 VICTOR ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800112017",
            "telephone_number": "720-451-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5280 FRESH START,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "720-451-4359",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.