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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
A Fresh Start Recovery Services SUD | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548691165 | A Fresh Start Recovery Services | Case Management | 1123 Blaine St, Caldwell, ID 83605-3835 | 2013-12-07 |
Street Address |
1123 BLAINE ST |
City | CALDWELL |
State | ID |
Zip Code | 83605-3835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548691165 | A Fresh Start Recovery Services | Case Management | 1123 Blaine St, Caldwell, ID 83605-3835 | 2013-12-07 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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.