NPIMap

Organization Active NPI

A Fresh Start Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caldwell, ID
National Provider Identifier
1962802462
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 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
Last updated
Sep 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
A FRESH START RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Ms. Maja Steele, LCP, ACADC, NCC
Title
Owner
Phone
(208) 459-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1123 Blaine St
Caldwell, ID 83605-3835

Mailing address

1123 Blaine St
Caldwell, ID 83605-3835
Phone (208) 459-9222

Other names 1

  • A Fresh Start Recovery Services SUD Other name

National Provider Directory

National Provider Directory
Tax ID family
A Fresh Start Recovery Services2 organizations share this tax ID, including this one
Part of
A Fresh Start Recovery Services

Other organizations with this tax ID 1

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

Locations

1123 Blaine St
Caldwell, ID 83605
Phone (208) 459-9222

Ownership & related parties

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.

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.