A FRESH START, L.L.C. NPI 1437168119

Durable Medical Equipment & Medical Supplies in Albertville, AL

NPI 1437168119 Organization Durable Medical Equipment & Medical Supp...

About A FRESH START, L.L.C.

A Fresh Start, L.l.c. is a provider established in Albertville, Alabama specializing in durable medical equipment & medical supplies. The NPI number of A Fresh Start, L.l.c. is 1437168119 and was assigned on August 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Leslie Peppers Boc (Owner)

NPI

1437168119

Provider NameA FRESH START, L.L.C.
Provider Location Address123 SAND MOUNTAIN DR NE ALBERTVILLE, AL 35950
Provider Mailing Address123 SAND MOUNTAIN DR NE ALBERTVILLE, AL 35950
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-05-2006
Last Update Date04-20-2010


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

A FRESH START, L.L.C.
123 SAND MOUNTAIN DR NE
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 891-4030
Fax: (256) 894-4433

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Mailing Address

A FRESH START, L.L.C.
123 SAND MOUNTAIN DR NE
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 891-4030
Fax: (256) 894-4433



Authorized Official

Authorized Official Name LESLIE PEPPERS BOC
Authorized Official TitleOWNER
Authorized Official Phone(256) 891-4030

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5772210001MEDICARE ID-TYPE UNSPECIFIED (04)AL
009941647MEDICAID (05)AL

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1518988435 LESLIE SEWELL BOC
Individual
Durable Medical Equipment & Medical Supplies123 SAND MOUNTAIN DR NE
ALBERTVILLE, AL 35950
(256) 891-4030

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.