FRESH START DIALYSIS SPA TREATMENT CENTER
NPI 1821220138
Clinic/Center in Largo, MD

Active since August 20, 2009
1101 MERCANTILE LN, LARGO, MD 20774(240) 606-7828 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fresh Start Dialysis Spa Treatment Center NPPES

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

FRESH START DIALYSIS SPA TREATMENT CENTER (NPI 1821220138) is a healthcare organization registered as a clinic/center in Largo, Maryland and active in the NPI registry since August 2009. The organization lists Tahisha B. Brooks, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1821220138
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFRESH START DIALYSIS SPA TREATMENT CENTER
Location Address1101 MERCANTILE LNLargo, MD 20774-5360
Mailing Address719 Streamside DrBowie, MD 20721-1803 · (240) 606-7828
Organization SubpartNo
Authorized OfficialTahisha B. BrooksPresident & Ceo · (240) 606-7828
Enumeration DateAugust 20, 2009
NPI 1821220138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDriverTaxonomy 172A00000X
Also ListedMassage TherapistTaxonomy 225700000X
1101 MERCANTILE LN, Largo, MD 20774

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Physical Therapy)
1101 MERCANTILE LN, SUITE 220
LARGO, MD 20774
Home Health
1101 MERCANTILE LN, SUITE 292
UPPER MARLBORO, MD 20774
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1101 MERCANTILE LN, STE 104
LARGO, MD 20774

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 Dialysis Spa Treatment Center's NPI number?

The NPI number for Fresh Start Dialysis Spa Treatment Center is 1821220138. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Fresh Start Dialysis Spa Treatment Center located?

Fresh Start Dialysis Spa Treatment Center is located at 1101 Mercantile Ln, Largo, MD 20774. The listed phone number is (240) 606-7828.

What is Fresh Start Dialysis Spa Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fresh Start Dialysis Spa Treatment Center was last updated on August 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.