Fresh Start Home Community Development Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FRESH START HOME COMMUNITY DEVELOPMENT CORPORATION

Practice address

7003 S Normal Blvd Apt 1
Chicago, IL 60621-3064

Phone

(312) 632-0811

Fax

(855) 267-5262

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Vianna C. Little

Title

President/Executive Director

Phone

(312) 632-0811

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1992416556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 S MICHIGAN AVE UNIT 4N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153313",
            "telephone_number": "312-632-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S NORMAL BLVD APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213064",
            "telephone_number": "312-632-0811",
            "fax_number": "855-267-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START HOME COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "VIANNA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-632-0811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@fshcdc.org",
            "affiliation": "N",
            "endpointDescription": "Organization secured email server",
            "address_1": "7003 S Normal Blvd Apt 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606213064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.