A FRESH START RECOVERY HOUSE
NPI 1518612613
In Home Supportive Care in Milwaukee, WI

NPI Status: Active since February 16, 2022

Contact Information

3505 W NORTH AVE
MILWAUKEE, WI
ZIP 53208
Phone: (414) 600-9947

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  • Organization
  • In Home Supportive Care

About A FRESH START RECOVERY HOUSE

This page provides the complete NPI Profile along with additional information for A Fresh Start Recovery House, a provider established in Milwaukee, Wisconsin operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1518612613 assigned on February 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Reeiyaina Griffin (Agent)

NPI
1518612613
Provider Name
A FRESH START RECOVERY HOUSE
Entity Type
Organization
Location Address
3505 W NORTH AVE MILWAUKEE, WI 53208
Location Phone
(414) 600-9947
Mailing Address
PO BOX 12773 MILWAUKEE, WI 53212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2022
Last Update Date
02-16-2022
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

 
2322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

REEIYAINA GRIFFIN

Authorized Official Title
AGENT
Authorized Official Phone
(414) 815-0505

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
25XXXXXXXXOTHER (01)WIPRIMARY SPECIALITY

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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.
1518612613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528121462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 2 + 1 + 4 + 6 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1518612613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578218665A FRESH START RECOVERY HOUSE
Organization
Case Management3505 W NORTH AVE
MILWAUKEE, WI 53208
(414) 600-9947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518612613, enumerated in the NPI registry as an "organization" on February 16, 2022

The provider is located at 3505 W North Ave Milwaukee, Wi 53208 and the phone number is (414) 600-9947

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 16, 2022. 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.