Fresh Start LLC
Clinic/Center, Recovery Care in Baltimore, MD. Organization (NPI-2).
NPI number1295561702
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1295561702
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresh Start LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2024
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0800X | Clinic/Center, Recovery Care | – | – | Yes |
Practice location
1908 N Washington StBaltimore, MD 21213-1410
Phone 301-573-9350
Mailing address
6364 Bayberry CtElkridge, MD 21075-6922
Phone 301-573-9350
Authorized official
Bernadine Yananey
Owner
3015739350
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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