FRESH START RESIDENTIAL SERVICES INC (NPI# 1851426431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851426431 |
| Entity Type | Organization |
| Organization Name | FRESH START RESIDENTIAL SERVICES INC |
| Practice Address |
4928 Coolridge Ct Apt A Raleigh NC 27616-5294 |
| Mailing Address |
2411 E Millbrook Rd Raleigh NC 27604-2800 |
| Practice Telephone | 9197907869 |
| Practice Fax Number | 9197907864 |
| Mailing Telephone | 9197907869 |
| Mailing Fax Number | 9197907864 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL PERKINS (PRESIDENT) |
| Authorized Official Telephone | 9197907869 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL 092 395 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336274083 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3833 Buffaloe Rd, Raleigh, NC 27604-4210 | 2007-02-22 |
| 1669507315 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5817 Old Forge Cir, Raleigh, NC 27609-4035 | 2007-02-22 |
| 1255466827 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5039 Sedgewick Dr Apt D, Raleigh, NC 27616-4576 | 2007-02-22 |
| 1760547590 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2411 E Millbrook Rd, Suite 114, Raleigh, NC 27604-2800 | 2006-12-22 |
| Street Address |
4928 COOLRIDGE CT APT A |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598133209 | S.t.e.p. Up Behavioral Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5809 N Beaver Ln, Raleigh, NC 27604-6057 | 2015-09-11 |
| 1033358825 | Chance Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1305 Hendren Cir, Raleigh, NC 27610-4937 | 2009-02-18 |
| 1386805984 | Carrington Children Family Services, L.l.c | Residential Treatment Facility, Emotionally Disturbed Children | 4401 Goldcrest Ln, Raleigh, NC 27616-8816 | 2008-06-17 |
| 1003005240 | Phyd, Inc. (pretty Homes Youth Development) | Residential Treatment Facility, Emotionally Disturbed Children | 1611 Poole Rd, Raleigh, NC 27610-2658 | 2007-10-23 |
| 1043409113 | Hope Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8909 Sauls Rd, Raleigh, NC 27603-8726 | 2007-10-15 |
| 1992918627 | 2nd Chance Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 729 Kavkaz St, Raleigh, NC 27610-3174 | 2007-05-08 |
| 1639205701 | Gill House | Residential Treatment Facility, Emotionally Disturbed Children | 845 Cross Link Rd, Raleigh, NC 27610-4730 | 2007-02-26 |
| 1336274083 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3833 Buffaloe Rd, Raleigh, NC 27604-4210 | 2007-02-22 |
| 1669507315 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5817 Old Forge Cir, Raleigh, NC 27609-4035 | 2007-02-22 |
| 1255466827 | Fresh Start Residential Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5039 Sedgewick Dr Apt D, Raleigh, NC 27616-4576 | 2007-02-22 |
| Find all providers in RALEIGH | ||||
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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.