Fresh Start Home For Children

LBN: Jmj Enterprises
Fresh Start Home For Children is an health care organization with primary practice located at 2020 Textile Dr , Greensboro NC 27405-5857. The organization recently has 7 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Jmj Enterprises can be contacted via phone (336) 271-6982, or through Martin, Traci Johnson via phone (336) 375-3901.

Contact Information

Primary practice address
2020 Textile Dr Greensboro NC 27405-5857
Phone: (336) 271-6982
Fax: (336) 419-0456
Website:
Map and Directions
Authorized official contact:
Name: Martin, Traci Johnson
Phone: (336) 375-3901

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-041-1115 North Carolina
Agencies / Community/Behavioral Health 251S00000X MHL-041-1095 North Carolina
Agencies / In Home Supportive Care 253Z00000X MHL0411095 North Carolina
Agencies / In Home Supportive Care 253Z00000X MHL-041-1115 North Carolina
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-041-1095 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-041-1115 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL041857 North Carolina
Respite Care Facility / Respite Care 385H00000X MHL-041-1115 North Carolina
Respite Care Facility / Respite Care 385H00000X MHL-041-1095 North Carolina

Profile Details

NPI number 1376799585
LBN Legal business name Jmj Enterprises
DBA Doing business as Fresh Start Home For Children
Authorized official Martin, Traci Johnson
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2008
Last updated May 3rd, 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.

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