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FRESH START TRANSITIONAL HOMES NPI 1881853968


NPI Information

NPI: 1881853968
Provider Name: FRESH START TRANSITIONAL HOMES
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
17839 GODDARD ST
DETROIT, MI
ZIP 48212
Phone: (313) 281-6208
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FRESH START TRANSITIONAL HOMES is an adult care home custodial care facility in Detroit, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. FRESH START TRANSITIONAL HOMES NPI is 1881853968. The provider is registered as an organization entity type.

The provider's business location address is:

17839 GODDARD ST
DETROIT, MI
ZIP 48212-056
Phone: (313) 281-6208
Fax: (313) 281-6208

The provider's authorized official is Denise Smith .
The authorized official title is President and has the following contact phone number (313) 850-9220.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 6/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAS820283748MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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