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FRESH START RESIDENTIAL SERVICES INC
NPI 1669507315
Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, NC

Active since February 22, 2007
5817 OLD FORGE CIR, RALEIGH, NC 27609(919) 790-7869(919) 790-7864 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fresh Start Residential Services Inc NPPES

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

FRESH START RESIDENTIAL SERVICES INC (NPI 1669507315) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization lists Michael Parks, President, as its authorized official.

NPPES Registry Identity

NPI1669507315
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameFRESH START RESIDENTIAL SERVICES INC
Location Address5817 OLD FORGE CIRRaleigh, NC 27609-4035
Mailing Address2411 E Millbrook Rd Ste 114Raleigh, NC 27604-2800 · (919) 790-7869 · Fax (919) 790-7864
Phone(919) 790-7869
Fax(919) 790-7864
Organization SubpartNo
Authorized OfficialMichael ParksPresident · (919) 790-7869
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1669507315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL 092 480
Definition
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.
5817 OLD FORGE CIR, Raleigh, NC 27609
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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 Residential Services Inc's NPI number?

The NPI number for Fresh Start Residential Services Inc is 1669507315. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Fresh Start Residential Services Inc located?

Fresh Start Residential Services Inc is located at 5817 Old Forge Cir, Raleigh, NC 27609. The listed phone number is (919) 790-7869.

What is Fresh Start Residential Services Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Fresh Start Residential Services Inc was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.