FRESH START SERVICES LLC (NPI# 1235376526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235376526 |
| Entity Type | Organization |
| Organization Name | FRESH START SERVICES LLC |
| Practice Address |
2521 Apricot Ln Las Vegas NV 89108-3555 |
| Mailing Address |
Po Box 570924 Las Vegas NV 89157-0924 |
| Practice Telephone | 7026313319 |
| Practice Fax Number | 7026310051 |
| Mailing Telephone | 7026313319 |
| Mailing Fax Number | 7026310051 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | MR. GIRMA ZAID (EXECUTIVE DIR.) |
| Authorized Official Telephone | 7026313319 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 5095-C | NV | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FRESH START SERVICES LLC | 3123 Bowdoin St, Des Moines, IA 50313 |
| Street Address |
2521 APRICOT LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760609929 | Fresh Start Services, LLC | Community/Behavioral Health | 2521 Apricot Ln, Las Vegas, NV 89108-3555 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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| 1891395869 | Brighter Development Behavorial Health Services | Community Based Residential Treatment Facility, Mental Illness | 3228 Villa Fiori Avenue, Las Vegas, NV 89141 | 2020-10-29 |
| 1427692532 | 3r Holdings LLC | Community Based Residential Treatment Facility, Mental Illness | 2860 S Bronco St, Las Vegas, NV 89146-5208 | 2019-10-31 |
| 1265093934 | Synergy Health | Community Based Residential Treatment Facility, Mental Illness | 9472 Wakashan Ave, Las Vegas, NV 89149-0502 | 2019-06-24 |
| 1023676129 | Butterfly Wings LLC | Community Based Residential Treatment Facility, Mental Illness | 9445 Coral Berry St, Las Vegas, NV 89123-5832 | 2019-06-03 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1285191981 | A New Brighter Future | Community Based Residential Treatment Facility, Mental Illness | 50 N Honolulu St, Las Vegas, NV 89110-4301 | 2019-02-28 |
| 1912471814 | Latoya Rodgers | Community Based Residential Treatment Facility, Mental Illness | 1172 Warm Canyon Way, Las Vegas, NV 89123-3601 | 2019-01-14 |
| 1760959522 | Beehive Homes of Paradise Valley Inc | Community Based Residential Treatment Facility, Mental Illness | 3841 E Twain Ave, Las Vegas, NV 89121-4520 | 2018-10-30 |
| 1811478712 | Malaika Tamu Hadley Jaffe | Community Based Residential Treatment Facility, Mental Illness | 6644 Jordan River Dr, Las Vegas, NV 89156 | 2018-08-28 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.