Fresh Start Services, Inc.

LBN: Fresh Start Services, Inc.
Fresh Start Services, Inc. is an health care organization with primary practice located at 1102 Edna St , Shelby NC 28152-8970. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Fresh Start Services, Inc. can be contacted via phone (704) 645-8888, or through Taylor, Rick via phone (704) 309-3758.

Contact Information

Primary practice address
1102 Edna St Shelby NC 28152-8970
Phone: (704) 645-8888
Fax: (704) 645-8900
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Rick
Phone: (704) 309-3758

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-023-115 North Carolina

Profile Details

NPI number 1669525465
LBN Legal business name Fresh Start Services, Inc.
DBA Doing business as
Authorized official Taylor, Rick
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1669525465 NPPES
North Carolina MEDICAID 6603612

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