FRESH START – NPI #1184815755
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

FRESH START is a community based residential treatment facility located in DULUTH, MN. NPPES has assigned the NPI number 1184815755 to FRESH START on August 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESH START” is a dba name, the actual legal business name for this organization is MAKALU, INC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESH START below.

NPI Profile for
MAKALU, INC

NPI Number
1184815755
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAKALU, INC
Doing Business As (dba): FRESH START
Primary location
1610 E 1ST ST
DULUTH, MN 55812-1650
Phone: (218) 724-2945 Fax: (218) 724-0699
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAY KNOCK
PRESIDENT
Phone: (605) 388-4691
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
MN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.