A Fresh Start Recovery Services

Key facts

NPI

1962802462

Entity type

Organization (NPI type 2)

Primary specialty

Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Legal business name

A FRESH START RECOVERY SERVICES

Practice address

1123 Blaine St
Caldwell, ID 83605-3835

Phone

(208) 459-9222

NPI assigned

Sep 3, 2014

Organization subpart

Yes

Parent organization (as reported)

A FRESH START RECOVERY SERVICES

Authorized official

Name

Ms. Maja Steele, LCP, ACADC, NCC

Title

Owner

Phone

(208) 459-9222

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• A Fresh Start Recovery Services Community/Behavioral Health Agency · Caldwell, ID · NPI 1548691165
  NPPES parent name

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Fresh Start Recovery Services Community/Behavioral Health Agency · Caldwell, ID · NPI 1548691165
  NPD tax ID

National Provider Directory

Tax ID family

A Fresh Start Recovery Services (2 organizations share this tax ID)

Part of

A Fresh Start Recovery Services

Locations

Specialties & licenses

Addresses

Other names

• A Fresh Start Recovery Services SUD Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2014.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1962802462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053835",
            "telephone_number": "208-459-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053835",
            "telephone_number": "208-459-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRESH START RECOVERY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A FRESH START RECOVERY SERVICES",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-459-9222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCP, ACADC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Fresh Start Recovery Services SUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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