FRESH START FAMILY SERVICES OF OREGON, INC. (NPI# 1962800300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962800300 |
| Entity Type | Organization |
| Organization Name | FRESH START FAMILY SERVICES OF OREGON, INC. |
| Practice Address |
8825 Se 42nd Ave Milwaukie OR 97222-5568 |
| Practice Telephone | 5037044579 |
| Practice Fax Number | 9712453416 |
| Mailing Telephone | 5037044579 |
| Mailing Fax Number | 9712453416 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | SUSAN DIANE SHEETS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5037044579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 0295 | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FRESH START FAMILY SERVICES OF OREGON, INC. | 8825 Se 42nd Ave, Milwaukie, OR 97222 |
| Street Address |
8825 SE 42ND AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103404 | Robert Scott Ryves | Foster Care Agency | 1106 Maple St, Florence, OR 97439-9410 | 2018-02-10 |
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1992228498 | Youth Unlimited Inc. | Foster Care Agency | 11012 Se Stark St Unit M, Portland, OR 97216-3388 | 2017-07-17 |
| 1104356401 | Pamela Hayden | Foster Care Agency | 6720 Amber Ave, Klamath Falls, OR 97603-4189 | 2017-06-19 |
| 1649725169 | Radiant Care Afh LLC | Foster Care Agency | 445 N Main Ave, Warrenton, OR 97146-9677 | 2016-08-25 |
| 1932554243 | Stride Residential Services | Foster Care Agency | 2747 Newton St, Philomath, OR 97370-9214 | 2016-04-25 |
| 1417358417 | Danielmoray Corporation | Foster Care Agency | 1000 Ne 122nd Ave Ste 25, Portland, OR 97230-2007 | 2014-09-09 |
| 1669888244 | Kenneth Cole | Foster Care Agency | 938 W Hilliard Ln, Eugene, OR 97404-3014 | 2014-07-03 |
| 1528295227 | New Decision Treatment Foster Care, Inc. | Foster Care Agency | 11737 Se Alder St, Portland, OR 97216-3867 | 2009-06-19 |
| 1093955767 | Children, Adults and Families - Child Welfare | Foster Care Agency | 500 Summer St Ne # E-69, Salem, OR 97301-1063 | 2009-02-20 |
| 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.