FRESH START – NPI #1528121894
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

FRESH START is a substance abuse rehabilitation facility located in MARION, SC. NPPES has assigned the NPI number 1528121894 to FRESH START on December 18, 2006. 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 TRINITY BEHAVIORAL CARE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 18 years ago on May 21, 2008. 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
TRINITY BEHAVIORAL CARE

NPI Number
1528121894
Enumeration Date

(more than 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
TRINITY BEHAVIORAL CARE
Doing Business As (dba): FRESH START
Primary location
5452B N HIGHWAY 501
MARION, SC 29571-6095
Phone: (843) 431-9225 Fax: (843) 431-9203
Mailing address
PO BOX 1011
MARION, SC 29571-1011
Phone: (843) 431-9225 Fax: (843) 431-9203
Organization Subpart
Yes - FRESH START is subpart of another organization.
Authorized Official
WILLIAM O'CONNOR
EXECUTIVE DIRECTOR
Phone: (843) 423-9292
Updated
Identifiers

Identifiers for FRESH START

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCAD20MD
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 SC ITP-023
251S00000X
- Community/Behavioral Health		 SC ITP-023

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.