Fresh Start, Inc.

LBN: Fresh Start, Inc.
Fresh Start, Inc. is an health care organization with primary practice located at 2415 E 55Th St , Cleveland OH 44104-1501. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Fresh Start, Inc. can be contacted via phone (216) 431-2554, or through Black, Ruby J via phone (216) 431-2554.

Contact Information

Primary practice address
2415 E 55Th St Cleveland OH 44104-1501
Phone: (216) 431-2554
Fax: (216) 431-4878
Website:
Map and Directions
Authorized official contact:
Name: Black, Ruby J Master of Education (MED)
Phone: (216) 431-2554

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 06955 Ohio

Profile Details

NPI number 1235175480
LBN Legal business name Fresh Start, Inc.
DBA Doing business as
Authorized official Black, Ruby J Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235175480 NPPES
Ohio MEDICAID 07158

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