A Fresh Start Recovery House

LBN: A Fresh Start Recovery House
A Fresh Start Recovery House is an health care organization with primary practice located at 3505 W North Ave , Milwaukee WI 53208-1415. The organization recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / In Home Supportive Care is the primary health care specialty. A Fresh Start Recovery House can be contacted via phone (414) 600-9947, or through Griffin, Reeiyaina via phone (414) 815-0505.

Contact Information

Primary practice address
3505 W North Ave Milwaukee WI 53208-1415
Phone: (414) 600-9947
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Reeiyaina
Phone: (414) 815-0505

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1518612613
LBN Legal business name A Fresh Start Recovery House
DBA Doing business as
Authorized official Griffin, Reeiyaina
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2022
Last updated Feb 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518612613 NPPES
Wisconsin Other 25XXXXXXXX PRIMARY SPECIALITY

Popular Providers