FRESHSTART RECOVERY LLC (NPI# 1104466697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104466697 |
| Entity Type | Organization |
| Organization 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 |
| Authorized Official Telephone | 4803430086 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESHSTART RECOVERY LLC |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Grouping |
|---|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675608 | Freshstart Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 2913 W Dunbar Dr, Phoenix, AZ 85041-6353 | 2019-02-19 |
| Street Address | 2914 W DONNER DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor - Addiction (Substance Use Disorder) | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist - Sports | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1932739737 | Dunker Enterprise LLC | Counselor | 2030 West Baseline Road Suite 182a #202, Phoenix, AZ 85041 | 2020-01-21 |
| 1043366941 | Eric Roger Davis | Contractor | 7416 S 24th Ln, Phoenix, AZ 85041 | 2007-01-25 |
| 1255999819 | Jesa Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-30 |
| 1356616452 | Manuel Arellano | Technician - Personal Care Attendant | 1320 W Tamarisk St, Phoenix, AZ 85041-2350 | 2012-03-21 |
| 1235453671 | Valley Care & Enrichment Services, Inc | Non-emergency Medical Transport (VAN) | 2559 W Tamarisk Ave, Phoenix, AZ 85041-2041 | 2010-03-15 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1518140086 | Arizona Cvs Stores,L.l.c. · Cvs Pharmacy 03383 | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| 1306437553 | Laveen Sunsets Residential Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3001 W Donner Dr, Phoenix, AZ 85041 | 2021-01-31 |
| Find all in zip 85041 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013587864 | Bbc Scottsdale LLC | Community Based Residential Treatment Facility, Mental Illness | 5736 N 33rd Ave, Phoenix, AZ 85017-1905 | 2021-06-24 |
| 1184290934 | Young Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6449 S 16th Pl, Phoenix, AZ 85042-4569 | 2021-06-02 |
| 1710553086 | Arizona Homes of Miracles LLC | Community Based Residential Treatment Facility, Mental Illness | 2534 W Saint Catherine Ave, Phoenix, AZ 85041-5354 | 2021-05-27 |
| 1588239610 | Leslos Homes Lc | Community Based Residential Treatment Facility, Mental Illness | 3215 W Glendale Ave, Phoenix, AZ 85051-8356 | 2021-05-21 |
| 1346815560 | A Home for Me LLC | Community Based Residential Treatment Facility, Mental Illness | 1810 W Southern Ave Ste 103, Phoenix, AZ 85041-4652 | 2021-05-20 |
| 1518541093 | Osman Aden | Community Based Residential Treatment Facility, Mental Illness | 7277 S 22nd Ave, Phoenix, AZ 85041-5474 | 2021-05-10 |
| 1700460490 | Nzayisenga Joseph Muhire | Community Based Residential Treatment Facility, Mental Illness | 8646 W Montecito Ave, Phoenix, AZ 85037-1836 | 2021-05-08 |
| 1740864891 | Nehema Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5242 W Blaylock Dr, Phoenix, AZ 85083-6301 | 2021-05-05 |
| 1720661788 | 1st Step The Cambridge LLC | Community Based Residential Treatment Facility, Mental Illness | 3509 E Cambridge Ave, Phoenix, AZ 85008-1219 | 2021-04-28 |
| 1841872678 | Longevity Home Care LLC Dba Longevity Home Care | Community Based Residential Treatment Facility, Mental Illness | 8632 S 10th Ln, Phoenix, AZ 85041-8337 | 2021-04-21 |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85041 |
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|---|---|---|---|---|
| 1235715830 | Redemption Recovery Center, LLC · Applegate Recovery - Jackson | Clinic/Center - Rehabilitation, Substance Use Disorder | 23 Weatherford Sq, Jackson, TN 38305-2202 | 2021-03-23 |
| 1982271276 | Redemption Recovery Center, LLC · Applegate Recovery - Savannah | Clinic/Center - Rehabilitation, Substance Use Disorder | 1010 Wayne Rd Ste 203, Savannah, TN 38372-1536 | 2021-06-07 |
| 1932794575 | Family Recovery, Inc. · Recovery Wellness Center | Substance Abuse Rehabilitation Facility | 530 Nw 5th St, Corvallis, OR 97330-6419 | 2021-03-05 |
| 1124695416 | Redemption Recovery, LLC · Applegate Recovery - Selmer | Clinic/Center - Rehabilitation, Substance Use Disorder | 303 E Poplar Ave, Selmer, TN 38375-1723 | 2021-06-07 |
| 1104417401 | Lumos Recovery, LLC · Arkview Recovery Center | Substance Abuse Rehabilitation Facility | 4950 Wilson Ln, Mechanicsburg, PA 17055-4442 | 2021-01-29 |
| 1902470982 | Recovery Solutions LLC · Saddleback Recovery | Counselor - Addiction (Substance Use Disorder) | 27184 Ortega Hwy Ste 209-210, San Juan Capistrano, CA 92675-5705 | 2021-05-14 |
| 1093307266 | Renest Recovery Support Services of Illinois · Renest Recovery Support Service Rockford LLC | Clinic/Center - Mental Health (Including Community Mental Health Center) | 910 2nd Ave, Rockford, IL 61104-2162 | 2021-02-09 |
| 1760056808 | Resilience Recovery Resources LLC · Resilience Recovery Residences | Clinic/Center - Rehabilitation, Substance Use Disorder | 321 Northlake Blvd Ste 103-106, North Palm Beach, FL 33408-5422 | 2021-05-13 |
| 1225629553 | Colorado Recovery Tms, LLC · Colorado Recovery Solutions | Family Medicine - Adult Medicine | 1910 Vindicator Drive, Suite #105, Colorado Springs, CO 80919-3623 | 2021-01-29 |
| 1740872845 | Max Recovery LLC | Physical Therapist | 8227 Appleton St, Dearborn Heights, MI 48127-1403 | 2021-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.