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FRESH START RECOVERY CENTER LLC
NPI 1295272482
Clinic/Center - Rehabilitation, Substance Use Disorder in Gaithersburg, MD

Active since January 25, 2017
15886 GAITHER DR, SUITE B, GAITHERSBURG, MD 20877(301) 300-3696(954) 298-4039 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2021, Jan 25, 2017 (2 updates tracked since 2017).

About Fresh Start Recovery Center Llc NPPES

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

FRESH START RECOVERY CENTER LLC (NPI 1295272482) is a healthcare organization registered as a rehabilitation, substance use disorder in Gaithersburg, Maryland and active in the NPI registry since January 2017. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1295272482
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFRESH START RECOVERY CENTER LLC
Location Address15886 GAITHER DR, SUITE BGaithersburg, MD 20877-1404
Mailing Address15886 Gaither Dr, Suite BGaithersburg, MD 20877-1404 · (301) 300-3696 · Fax (954) 298-4039
Phone(301) 300-3696
Fax(954) 298-4039
Organization SubpartNo
Authorized OfficialJessie CostleyCredentialing Specialist · (443) 839-6928
Enumeration DateJanuary 25, 2017
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1295272482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · D0046457
15886 GAITHER DR, Gaithersburg, MD 20877
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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.

FRESH START RECOVERY
Psychologist (Addiction (Substance Use Disorder))
15886 GAITHER DR
GAITHERSBURG, MD 20877
Montgomery County (954) 234-2469
FRESH START RECOVERY LAB
Clinical Medical Laboratory
15886 GAITHER DR
GAITHERSBURG, MD 20877
Montgomery County (954) 234-2469

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 Center LLC's NPI number?

The NPI number for Fresh Start Recovery Center LLC is 1295272482. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Fresh Start Recovery Center LLC located?

Fresh Start Recovery Center LLC is located at 15886 Gaither Dr Suite B, Gaithersburg, MD 20877. The listed phone number is (301) 300-3696.

What is Fresh Start Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Fresh Start Recovery Center LLC was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.