FRESH START RESIDENTIAL SERVICES INC
NPI 1760547590
Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, NC

NPI Status: Active since December 22, 2006

Contact Information

2411 E MILLBROOK RD
SUITE 114
RALEIGH, NC
ZIP 27604
Phone: (919) 790-7869
Fax: (919) 790-7864

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About FRESH START RESIDENTIAL SERVICES INC

This page provides the complete NPI Profile along with additional information for Fresh Start Residential Services Inc, a provider established in Raleigh, North Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1760547590 assigned on December 2006. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Michael E Parks (President Ceo)

NPI
1760547590
Provider Name
FRESH START RESIDENTIAL SERVICES INC
Entity Type
Organization
Location Address
2411 E MILLBROOK RD SUITE 114 RALEIGH, NC 27604
Location Phone
(919) 790-7869
Location Fax
(919) 790-7864
Mailing Address
2411 E MILLBROOK RD SUITE 114 RALEIGH, NC 27604
Mailing Phone
(919) 790-7869
Mailing Fax
(919) 790-7864
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2006
Last Update Date
02-10-2009
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

MR. MICHAEL E PARKS

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(919) 790-7869

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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.
1760547590
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712010414518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 4 + 1 + 4 + 5 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760547590 is valid because the calculated check digit 0 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
1326158148 REKHA MEHTA JAIN MD
Individual
Internal Medicine2411 E MILLBROOK RD SUITE 111
RALEIGH, NC 27604
(919) 878-8620
1861692626REKHA M JAIN M.D.
Organization
Internal Medicine2411 E MILLBROOK RD SUITE 111
RALEIGH, NC 27604
(919) 878-8620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760547590, enumerated in the NPI registry as an "organization" on December 22, 2006

The provider is located at 2411 E Millbrook Rd Suite 114 Raleigh, Nc 27604 and the phone number is (919) 790-7869

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on December 22, 2006. 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.