FRESH START REHAB LLC
NPI 1033093158
Clinic/Center - Rehabilitation, Substance Use Disorder in Asheboro, NC
About Fresh Start Rehab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH START REHAB LLC (NPI 1033093158) is a healthcare organization registered as a rehabilitation, substance use disorder in Asheboro, North Carolina and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Jariksa Menjivar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2328997
Fresh Start Rehab LLC · Cedar Falls, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHEBORO, NC 27203
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 Rehab LLC's NPI number?
The NPI number for Fresh Start Rehab LLC is 1033093158. It was assigned to this organization in the NPPES registry on August 1, 2025.
Where is Fresh Start Rehab LLC located?
Fresh Start Rehab LLC is located at 624 S Fayetteville St Ste C, Asheboro, NC 27203. The listed phone number is (743) 224-7107.
What is Fresh Start Rehab LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Fresh Start Rehab LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2328997) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fresh Start Rehab LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Fresh Start Rehab Llc · NPI 1033093158
Rehabilitation, Substance Use Disorder organization in Asheboro, North Carolina. Organization record, active in the CMS NPPES registry since August 1, 2025.
## Identity
- **NPI:** 1033093158 (Entity type: Organization)
- **Enumerated:** August 1, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Jariksa Menjivar, OWNER
## Practice location
- **Address:** 624 S FAYETTEVILLE ST STE C, Asheboro, NC 27203-6582
- **Phone:** (743) 224-7107
## Record status
- **NPPES last updated:** August 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033093158) · Data from the CMS NPPES public registry.