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FRESH START VEGAS LLC
NPI 1669949566
Community/Behavioral Health in Las Vegas, NV

Active since October 29, 2018
400 S 4TH ST STE 500, LAS VEGAS, NV 89101(702) 849-0460(702) 920-7648 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresh Start Vegas Llc NPPES

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

FRESH START VEGAS LLC (NPI 1669949566) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since October 2018. The organization lists Rossi Poole, Owner, as its authorized official.

NPPES Registry Identity

NPI1669949566
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFRESH START VEGAS LLC
Location Address400 S 4TH ST STE 500Las Vegas, NV 89101-6207
Mailing Address400 S 4th St Ste 500Las Vegas, NV 89101-6207 · (702) 849-0460 · Fax (702) 920-7648
Phone(702) 849-0460
Fax(702) 920-7648
Organization SubpartNo
Authorized OfficialRossi PooleOwner · (702) 849-0460
Enumeration DateOctober 29, 2018
✔ NPI 1669949566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
400 S 4TH ST STE 500, Las Vegas, NV 89101
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Other Providers at the Same Location NPPES 20

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

AZIAH STEWART
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
LANDON FRANCIS
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
REYNA DANIELLE CANO
Behavior Analyst
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (818) 345-2345
RONALDO SHAW
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386
JENNIFER LEE MULLIN
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386
JAMES ALEXANDER
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
JUSTIN ALZONA-ROSAROSO
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 357-8317
JENNIFER MARIE WALDOW
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386

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 Vegas LLC's NPI number?

The NPI number for Fresh Start Vegas LLC is 1669949566. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Fresh Start Vegas LLC located?

Fresh Start Vegas LLC is located at 400 S 4th St Ste 500, Las Vegas, NV 89101. The listed phone number is (702) 849-0460.

What is Fresh Start Vegas LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Fresh Start Vegas LLC was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.