Fresh Start Transitional Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS820283748 Issued in MI

Legal business name

FRESH START TRANSITIONAL HOMES

Practice address

17839 Goddard St
Detroit, MI 48212-1056

Phone

(313) 281-6208

Fax

(313) 281-6208

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Smith

Title

President

Phone

(313) 850-9220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1881853968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480470503",
            "telephone_number": "313-850-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17839 GODDARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121056",
            "telephone_number": "313-281-6208",
            "fax_number": "313-281-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START TRANSITIONAL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-850-9220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS820283748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Frenchi, D.D.S.
• Frequency Healthcare Agency Corp
• Julie Fresard, NP
• Fresh Beginnings Counseling Services
• Fresh Start Care Services LLC
• Abrielle Fretz
• David Rodney Frey, R.PH
• Jennifer Frey, M.S.
• Shaun Frey
• FRG Michigan PC

• Adult Care Home Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.