FRESH START RECOVERY GROUP LLC
NPI 1023724861
Family Medicine - Addiction Medicine in Fort Wayne, IN

Q: What is Fresh Start Recovery Group LLC's NPI number?

The NPI number for Fresh Start Recovery Group LLC is 1023724861. It was assigned to this organization in the NPPES registry on January 25, 2023.

Q: What is Fresh Start Recovery Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since January 25, 2023

3464 STELLHORN RD, FORT WAYNE, IN 46815(260) 402-9145 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fresh Start Recovery Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH START RECOVERY GROUP LLC (NPI 1023724861) is a healthcare organization registered as an addiction medicine in Fort Wayne, Indiana and active in the NPI registry since January 2023. The organization lists Eamon Christopher Poor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023724861

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameFRESH START RECOVERY GROUP LLC

Location Address3464 STELLHORN RDFort Wayne, IN 46815-4630

Mailing Address11788 Whistling TrlFort Wayne, IN 46818-0144 · (260) 402-1503

Phone(260) 402-9145

Organization SubpartNo

Authorized OfficialEamon Christopher PoorOffice Manager · (260) 402-1503

Enumeration DateJanuary 25, 2023

NPPES CertifiedJanuary 25, 2023

✔ NPI 1023724861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

3464 STELLHORN RD, Fort Wayne, IN 46815

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STELLHORN WELLNESS, LLC

Family Medicine (Addiction Medicine)

3464 STELLHORN RD
FORT WAYNE, IN 46815

Allen County (260) 432-6508

INNOVATIVE PROFESSIONAL SERVICE LLC

General Practice

3464 STELLHORN RD
FORT WAYNE, IN 46815

Allen County (260) 432-6508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Start Recovery Group LLC's NPI number?

The NPI number for Fresh Start Recovery Group LLC is 1023724861. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Fresh Start Recovery Group LLC located?

Fresh Start Recovery Group LLC is located at 3464 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 402-9145.

What is Fresh Start Recovery Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Fresh Start Recovery Group LLC was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.