FRESH START HOME FOR CHILDREN
NPI 1376799585
Community Based Residential Treatment Facility, Mental Illness in Greensboro, NC

NPI Status: Active since August 07, 2008

Contact Information

2020 TEXTILE DR
GREENSBORO, NC
ZIP 27405
Phone: (336) 271-6982
Fax: (336) 419-0456

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About FRESH START HOME FOR CHILDREN

This page provides the complete NPI Profile along with additional information for Fresh Start Home For Children, a provider established in Greensboro, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1376799585 assigned on August 2008. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Fresh Start Home For Children. The authorized official of this NPI record is Ms. Traci Johnson Martin (Owner)

NPI
1376799585
Provider Legal Name
JMJ ENTERPRISES
Other Organization Name
FRESH START HOME FOR CHILDREN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2020 TEXTILE DR GREENSBORO, NC 27405
Location Phone
(336) 271-6982
Location Fax
(336) 419-0456
Mailing Address
2020 TEXTILE DR GREENSBORO, NC 27405
Mailing Phone
(336) 988-1552
Mailing Fax
(336) 419-0456
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2008
Last Update Date
05-03-2022
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Location Map

Secondary Locations

  • 1929 Murrayhill Rd
    Greensboro, NC 27403
    (336) 271-6982
  • 3212 Presley Way
    Greensboro, NC 27405
    (336) 271-6982
  • 2006 Old Jones Rd
    Greensboro, NC 27406
    (336) 271-6982

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

MHL-041-1115 (NC)
2251S00000XAgencies

Community/Behavioral Health

MHL-041-1095 (NC)
3253Z00000XAgencies

In Home Supportive Care

MHL0411095 (NC)
4253Z00000XAgencies

In Home Supportive Care

MHL-041-1115 (NC)
5253Z00000XAgencies

In Home Supportive Care

 
6311Z00000XNursing & Custodial Care Facilities

Custodial Care Facility

 
7311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL-041-1095 (NC)
8311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL-041-1115 (NC)
9322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

MHL041857 (NC)
10385H00000XRespite Care Facility

Respite Care

MHL-041-1115 (NC)
11385H00000XRespite Care Facility

Respite Care

MHL-041-1095 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. TRACI JOHNSON MARTIN

Authorized Official Title
OWNER
Authorized Official Phone
(336) 375-3901

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376799585
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314614918516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 4 + 9 + 1 + 8 + 5 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1376799585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366673105JMJ ENTERPRISE, LLC
Organization
Day Training, Developmentally Disabled Services2020 TEXTILE DR
GREENSBORO, NC 27405
(336) 271-6982
1336372051JMJ ENTERPRISES, LLC
Organization
Community/Behavioral Health2020 TEXTILE DR
GREENSBORO, NC 27405
(336) 271-6982

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376799585, enumerated in the NPI registry as an "organization" on August 07, 2008

The provider is located at 2020 Textile Dr Greensboro, Nc 27405 and the phone number is (336) 271-6982

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on August 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.