Fresh Start, Inc. in Cleveland - Substance Abuse Rehabilitation Facility
Fresh Start, Inc. - NPI 1235175480
Fresh Start, Inc. is a Substance Abuse Rehabilitation Facility in Cleveland, Ohio. Fresh Start, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Fresh Start, Inc. is 1235175480. The last update date is 2020-08-22.
Fresh Start, Inc.'s current location address is 2415 E 55th St, Cleveland, Ohio. You can contact this provider via phone number 2164312554 and fax number 2164314878. The mailing address for Fresh Start, Inc. is 2415 E 55th St, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh Start, Inc. |
|---|---|
| Address | 2415 E 55th St, Cleveland, Ohio |
| Phone Number | 2164312554 |
| Fax Number | 2164314878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Black J Ruby |
| Credentials | M.ED. |
| Telephone Number | 2164312554 |
NPI Number Detail
| NPI Number | 1235175480 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2415 E 55th St |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441041501 |
| Phone Number | 2164312554 |
| Fax Number | 2164314878 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 6955 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7158 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fresh Start, Inc.?
The Fresh Start, Inc. has been issued the NPI (National Provider Identifier) 1235175480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fresh Start, Inc. located?
The Fresh Start, Inc. is located at 2415 E 55Th St, Cleveland, OH 441041501.
What is Fresh Start, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fresh Start, Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.
On what date was the 1235175480 assigned to Fresh Start, Inc.?
The Fresh Start, Inc. was issued its 1235175480 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Fresh Start, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fresh Start, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.