Second Chance For You in Charlotte - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Second Chance For You - NPI 1083808497
Second Chance For You is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Charlotte, North Carolina. Second Chance For You practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Second Chance For You is 1083808497. The last update date is 2007-08-29.
Second Chance For You's current location address is 2213 Southwind Dr, Charlotte, North Carolina. You can contact this provider via phone number 7042312889 and fax number 7049710131. The mailing address for Second Chance For You is 2213 Southwind Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Chance For You |
|---|---|
| Address | 2213 Southwind Dr, Charlotte, North Carolina |
| Phone Number | 7042312889 |
| Fax Number | 7049710131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jones S Kertrenia |
| Telephone Number | 7048075910 |
NPI Number Detail
| NPI Number | 1083808497 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 2213 Southwind Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282168846 |
| Phone Number | 7042312889 |
| Fax Number | 7049710131 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 601002 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805669 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Second Chance For You by the Centers for Medicare & Medicaid Services?
The Second Chance For You has been issued the NPI (National Provider Identifier) 1083808497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Second Chance For You located?
The Second Chance For You is located at 2213 Southwind Dr, Charlotte, NC 282168846.
What is Second Chance For You's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Second Chance For You's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did Second Chance For You receive its 1083808497 assignment from the Centers for Medicare & Medicaid Services?
The Second Chance For You was assigned its 1083808497 on 2007-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Second Chance For You last refreshed?
The information related to the Second Chance For You, including its address, specialty, and other relevant details, was last updated on 2007-08-29.
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