A FRESH START RECOVERY SERVICES


Address: 1123 Blaine St, Caldwell, ID 83605-3835
Phone: 2084599222

A FRESH START RECOVERY SERVICES (NPI# 1962802462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962802462
Entity Type Organization
Organization Name A FRESH START RECOVERY SERVICES
Other Organization Name A FRESH START RECOVERY SERVICES SUD
Practice Address 1123 Blaine St
Caldwell
ID 83605-3835
Practice Telephone 2084599222
Mailing Telephone 2084599222
Enumeration Date 2014-09-03
Last Update Date 2014-09-03
Authorized Official Name MS. MAJA STEELE (OWNER)
Authorized Official Telephone 2084599222
Authorized Official Credential LCP, ACADC, NCC
Is Organization Subpart Y
Parent Organization Name A FRESH START RECOVERY SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
A Fresh Start Recovery Services SUD Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548691165 A Fresh Start Recovery Services Case Management 1123 Blaine St, Caldwell, ID 83605-3835 2013-12-07

Office Location

Street Address 1123 BLAINE ST
City CALDWELL
State ID
Zip Code 83605-3835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548691165 A Fresh Start Recovery Services Case Management 1123 Blaine St, Caldwell, ID 83605-3835 2013-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1669025359 James Smith Pharmacist 2809 E Caldwell Blvd, Caldwell, ID 83605 2019-07-22
1164910824 Michelle Stoddard Physician Assistant 315 E Elm St Ste 200, Caldwell, ID 83605 2018-04-27
1215430483 Amy E Rudolf Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605 2018-03-14
1871044883 Kool Ridez LLC Case Management 1803 Ellis Ave., Caldwell, ID 83605 2016-10-14
1932550795 Chris Torgerson Social Worker 3402 Franklin Blvd, Caldwell, ID 83605 2016-06-23
1609237742 Peggy A Mcfarland Counselor 534 Cleveland Suite 230, Caldwell, ID 83605 2016-03-17
1720468101 Devin Douglas Dredge Emergency Medicine 1717 Arlington Ave Dept Of, Caldwell, ID 83605 2015-06-01
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1811338148 Peak Recovery LLC Clinic/Center 2423 S Georgia Ave, Caldwell, ID 83605-4477 2013-07-15

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1346602281 Valerie Jones Clinic/Center 911 South Highway 30, Oats Family Center, Heyburn, ID 83336 2016-03-21
1912335217 Lifestyle Changes Counseling Clinic/Center 371 Locust St S, Twin Falls, ID 83301-7837 2013-10-23
1194962829 Jx2 LLC Clinic/Center 1253 N Cole Rd, Ste 100, Boise, ID 83704-8647 2009-01-16
1295379865 High Country Behavioral Health Clinic/Center 2420 E 25th St, Idaho Falls, ID 83404-7549 2019-11-06
1699166637 Access Behavioral Health Services Clinic/Center 1276 W River St Ste 100, Boise, ID 83702-7083 2015-02-12
1427450055 Ada County Problem Solving Courts Clinic/Center 400 N Benjamin Ln, Suite 200, Boise, ID 83704-5094 2014-09-26
1336553692 Midvalley Healthcare Pllc Clinic/Center 2321 E Gala St, Suite 3, Meridian, ID 83642-7692 2014-06-16
1396176582 Badger Inc. Clinic/Center 1970 E 17th St, Ste 202, Idaho Falls, ID 83404-8014 2013-12-12
1992132427 Tueller Counseling Clinic/Center 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 2013-09-30
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Competitor

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City CALDWELL
Zip Code 83605

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Dataset Information

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.

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