NPIMap

Organization Active NPI

Freshstart Health Solutions

  • Specialist
  • Laurel, MD
National Provider Identifier
1891422457
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FRESHSTART HEALTH SOLUTIONS
Practice address
11715 Basswood Dr
Laurel, MD 20708-3167
Phone
(301) 905-2947
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Olajumoke Olawale
Title
Ceo
Phone
(301) 905-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11715 Basswood Dr
Laurel, MD 20708-3167

Mailing address

11715 Basswood Dr
Laurel, MD 20708-3167
Phone (301) 905-2947

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1891422457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083167",
            "telephone_number": "301-905-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083167",
            "telephone_number": "301-905-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESHSTART HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "OLAWALE",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-905-2947"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.