FRESH START LLC (NPI# 1215264965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215264965 |
| Entity Type | Organization |
| Organization Name | FRESH START LLC |
| Practice Address |
1752 State Hwy 508 Onalaska WA 98570 |
| Mailing Address |
Po Box 485 Onalaska WA 98570-0485 |
| Practice Telephone | 3609784186 |
| Practice Fax Number | 3609784186 |
| Mailing Telephone | 3609784186 |
| Mailing Fax Number | 3609784186 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | LARRY MEADE (OWNER/OPERATOR) |
| Authorized Official Telephone | 36097844186 |
| Authorized Official Credential | CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | CP00005297 | WA | Agencies |
| Y | 251S00000X | Community/Behavioral Health | RC00047372 | WA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Fresh Start LLC | 6392 Colby Way, Virginia Beach, Virginia 23464 |
| Colorado Business Entities | Fresh Start LLC | 126 Riverfront Lane, X100, Avon, CO 81620 |
| Oregon Corporations, Companies and Business Names | FRESH START LLC | 3113 Sw 176th Ave, Aloha, OR 97003 |
| Connecticut Business Registrations | FRESH START LLC | 73 Hartley Drive, Waterbury, CT 06705 |
| Street Address |
1752 STATE HWY 508 |
| City | ONALASKA |
| State | WA |
| Zip Code | 98570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811345580 | Larry Meade | Counselor | 1752 State Hwy 508, Onalaska, WA 98570-0485 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891857322 | Lewis County Fire Protection District 1 | Ambulance | 244 Carlisle Ave, Onalaska, WA 98570 | 2006-12-14 |
| 1174566087 | Kathleen Henry | Nurse Practitioner | 1810 Hwy 508, Onalaska, WA 98570 | 2006-06-14 |
| 1659631141 | Lewis County Community Health Services | Clinic/Center | 1810 Hwy 508, Onalaska, WA 98570 | 2012-05-18 |
| 1558570481 | Dustin Leon Lewis | Chiropractor | 355 Linhart Ave. Ne, Napavine, WA 98570-0329 | 2007-05-21 |
| 1215586763 | Merle Eleanor Walkup | In Home Supportive Care | 405 Shanklin Rd, Onalaska, WA 98570-9438 | 2019-09-07 |
| 1013565183 | Carolyn Lee Johnson | Nurse's Aide | 166b Smokey Rdg, Onalaska, WA 98570-9452 | 2019-08-30 |
| 1699094953 | Annie Bhagwandin | Specialist | 183 Shady Grove Rd, Onalaska, WA 98570-9453 | 2010-05-26 |
| 1447276100 | Onalaska School District | Local Education Agency (LEA) | 540 Carlisle Ave, Onalaska, WA 98570-9604 | 2006-07-14 |
| 1285868281 | Mark R Leadbetter | Orthopaedic Surgery | 3233 Centralia Alpha Rd, Onalaska, WA 98570-9610 | 2009-05-06 |
| 1447896436 | Quintessential Birth Services | Midwife | 218a Stub Rd, Onalaska, WA 98570-9627 | 2019-11-25 |
| Find all providers in zip 98570 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205001575 | Family Solutions Associates, LLP | Community/Behavioral Health | N5589 Commerce Rd Ste 170a, Ste 170a, Onalaska, WI 54650-9274 | 2008-04-28 |
| 1447428719 | Living Well Christian Family Clinic, LLC | Community/Behavioral Health | 575 Lester Ave Ste 100, Onalaska, WI 54650-8695 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821539 | Cpf Breakthrough, LLC | Community/Behavioral Health | 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 | 2020-11-03 |
| 1538760111 | Nw Family Recovery Solutions | Community/Behavioral Health | 710 Bay St, Port Orchard, WA 98366-5310 | 2020-11-02 |
| 1891395091 | Art Nelson LLC | Community/Behavioral Health | 18679 15th Loop Ne, Poulsbo, WA 98370-7436 | 2020-10-27 |
| 1508463803 | Kim Lampson Pllc | Community/Behavioral Health | 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 | 2020-10-08 |
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1659980563 | Deborah M Connors Pllc | Community/Behavioral Health | 534 Ne Everett St Ste 201, Camas, WA 98607-2025 | 2020-07-27 |
| 1790393221 | Charmd Behavioral & Health LLC | Community/Behavioral Health | 4318 233rd Pl Se, Bothell, WA 98021-9057 | 2020-07-21 |
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.