Freshstart Recovery LLC · Mental Illness Community Based Residential Treatment Facility

2914 W Donner Dr, Phoenix, AZ 85041-6343

Overview

Freshstart Recovery LLC is a Mental Illness Community Based Residential Treatment Facility (organization) practicing in Phoenix, Arizona. The National Provider Identifier (NPI) is #1104466697, which was assigned on January 13, 2020, and the registration record was last updated on January 13, 2020. The practitioner's main practice location is at 2914 W Donner Dr, Phoenix, AZ 85041-6343; the contact telephone number is 4803430086. The primary taxonomy of Freshstart Recovery LLC is Mental Illness Community Based Residential Treatment Facility (320800000X). The authorized official for Freshstart Recovery LLC is Sanova Dear (Administrator).

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider Information

NPI 1104466697
Entity Type Organization
Organization Name FRESHSTART RECOVERY LLC
Provider Name FRESHSTART RECOVERY LLC
Practice Address 2914 W Donner Dr
Phoenix
AZ 85041-6343
Practice Telephone 4803430086
Mailing Address 28518 N 26th Dr
Phoenix
AZ 85085-3726
Certification Date 2020-01-13
Enumeration Date 2020-01-13
Last Update Date 2020-01-13
Is Organization Subpart Y
Parent Organization Legal Business Name FRESHSTART RECOVERY LLC

Authorized Official Information

Official Name SANOVA DEAR
Official Title ADMINISTRATOR
Telephone 4803430086

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y320800000XCommunity Based Residential Treatment Facility, Mental Illness

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Freshstart Recovery LLC 2913 W Dunbar Dr, Phoenix, AZ 85041-6353Mental Illness Community Based Residential Treatment Facility2019-02-19

Taxonomy Information

Primary Taxonomy

Code 320800000X
Taxonomy Mental Illness Community Based Residential Treatment Facility
Classification Community Based Residential Treatment Facility, Mental Illness
Grouping Residential Treatment Facilities
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Rosa Villosa Residential Home LLC 2 Brookstone Dr, Fredericksburg, VA 22405-2794Mental Illness Community Based Residential Treatment Facility2024-03-11
Grace Love Recovery 970 E Corrall St, Avondale, AZ 85323-2757Mental Illness Community Based Residential Treatment Facility2024-03-13
Ubuzima Residentail Care 183 East Ave, Lewiston, ME 04240-5513Mental Illness Community Based Residential Treatment Facility2024-04-01
Trinity Recovery Home LLC 13218 W Maryland Ave, Litchfield Park, AZ 85340-9552Mental Illness Community Based Residential Treatment Facility2024-03-27
Jcl Investments 318 Lincoln Way # Abcd, Auburn, CA 95603-4380Mental Illness Community Based Residential Treatment Facility2024-04-01
New View Mental Health 2140 Hartford St, San Diego, CA 92110-1312Mental Illness Community Based Residential Treatment Facility2024-03-21
Trinity Recovery Home LLC 17622 W Port Royale Ln, Surprise, AZ 85388-7792Mental Illness Community Based Residential Treatment Facility2024-03-27
New Hope for Living, Inc 3228 W Glendale Ave Apt 135, Phoenix, AZ 85051-8367Mental Illness Community Based Residential Treatment Facility2024-03-08
Better Opportunity for Self Success LLC 5339 W Buffalo Pl, Chandler, AZ 85226-8611Mental Illness Community Based Residential Treatment Facility2024-03-29
River Oaks Treatment Center, LLC 12018 Boyette Rd, Riverview, FL 33569-5631Mental Illness Community Based Residential Treatment Facility2024-03-26
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Location Information

Street Address 2914 W DONNER DR
City PHOENIX
State AZ
Zip Code 85041-6343
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jesa Homes LLC 2546 West Bloch Rd, Phoenix, AZ 85041Mental Illness Community Based Residential Treatment Facility2019-05-30
Mbong Jerry Ngwese 2546 West Bloch Rd, Phoenix, AZ 85041Sports Physical Therapist2019-05-14
Michael R Hedden 8428 S. 16 Drive, Phoenix, AZ 85041Mental Health Counselor2012-01-22
Job Elliott 4105 W Saint Charles Ave, Phoenix, AZ 85041Addiction (Substance Use Disorder) Counselor2015-12-23
Our Home of Unity LLC 6804 S 21st Dr, Phoenix, AZ 85041Addiction (Substance Use Disorder) Counselor2019-07-25
Laveen Sunsets Residential Homes LLC 3001 W Donner Dr, Phoenix, AZ 85041Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2021-01-31
Eric Roger Davis 7416 S 24th Ln, Phoenix, AZ 85041Contractor2007-01-25
Black Family and Child Services Inc 6811 West 33rd Ave, Phoenix, AZ 85041Community/Behavioral Health Agency2015-10-12
Ashley Walker 8017 South 5th Ave, Phoenix, AZ 85041Mental Health Counselor2023-08-11
Maricopa County Special Heallth Care District 5650 S 35th Ave, Phoenix, AZ 85041Pharmacy2020-06-10
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Darke County Recovery Services · Recovery & Wellness Centers of Midwest Ohio 600 Walnut St, Greenville, OH 45331-1944Community/Behavioral Health Agency2007-01-22
Recovery Innovations Inc · Recovery Innovations of California, Recovery Education Institute 171 S Anita Dr, Suite 100, Orange, CA 92868-3319Community/Behavioral Health Agency2011-03-28
Freshstart Medical Management Inc. 603 S Governor Williams Hwy, Darlington, SC 29532Clinical Medical Laboratory2021-12-23
Darke County Recovery Services · Recovery & Wellness Centers of Midwest Ohio 228 N Barron St, Eaton, OH 45320-1704Community/Behavioral Health Agency2007-01-22
Turning Point Recovery Center, Inc. · Focused Recovery of New Mexico 3939 San Pedro Dr Ne Bldg D1, Albuquerque, NM 87110-8905Community/Behavioral Health Agency2014-03-13
Social Model Recovery Systems, Inc. · Royal Palms Recovery Home 360 S Westlake Ave, Los Angeles, CA 90057-2906Substance Abuse Rehabilitation Facility2005-10-12
Freshstart Health Solutions 11715 Basswood Dr, Laurel, MD 20708-3167Specialist2022-08-03
Cortez Addictions Recovery Services · Dba The Recovery Center: A Behavioral Health Organization 35 N. Ash Street, Cortez, CO 81321Addiction (Substance Use Disorder) Counselor2006-10-03
Jackson Recovery Centers, Inc. · Child and Adolescent Recovery Hospital Crisis and Stabilization Unit 3500 West 4th Street, Sioux City, IA 51103Children's Substance Abuse Rehabilitation Facility2015-06-30
Freshstart Pro · Dental Designers 4061 Bellaire Blvd, Suite C, Houston, TX 77025-1121Dentist2012-06-11

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.