Fresh Start Youth Services, Inc. in Bostic - Residential Treatment Facility, Emotionally Disturbed Children
Fresh Start Youth Services, Inc. - NPI 1790853646
Fresh Start Youth Services, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Bostic, North Carolina. Fresh Start Youth Services, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Fresh Start Youth Services, Inc. is 1790853646. The last update date is 2020-08-22.
Fresh Start Youth Services, Inc.'s current location address is 429 Bostic Sunshine Hwy, Bostic, North Carolina. You can contact this provider via phone number 7042262469 and fax number 7042902399. The mailing address for Fresh Start Youth Services, Inc. is 429 Bostic Sunshine Hwy, Bostic, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh Start Youth Services, Inc. |
|---|---|
| Address | 429 Bostic Sunshine Hwy, Bostic, North Carolina |
| Phone Number | 7042262469 |
| Fax Number | 7042902399 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEOEXECUTI |
|---|---|
| Authorized Official Name | Lheureux E. William |
| Credentials | MA, MPA |
| Telephone Number | 7042262469 |
NPI Number Detail
| NPI Number | 1790853646 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 429 Bostic Sunshine Hwy |
|---|---|
| City | Bostic |
| State | North Carolina (NC) |
| Post Code | 280189775 |
| Phone Number | 7042262469 |
| Fax Number | 7042902399 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 81067 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6604020 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fresh Start Youth Services, Inc. by the Centers for Medicare & Medicaid Services?
The Fresh Start Youth Services, Inc. has been assigned the NPI (National Provider Identifier) 1790853646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Fresh Start Youth Services, Inc. is geographically located?
The Fresh Start Youth Services, Inc. is physically situated at the following location: 429 Bostic Sunshine Hwy, Bostic, NC, 280189775.
What is the area of specialization for Fresh Start Youth Services, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fresh Start Youth Services, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Fresh Start Youth Services, Inc. receive the assignment of its 1790853646 from the Centers for Medicare & Medicaid Services?
The Fresh Start Youth Services, Inc. was issued its 1790853646 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date was the information pertaining to Fresh Start Youth Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fresh Start Youth Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.