Second Chance For You in Charlotte - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Second Chance For You - NPI 1104995182
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 1104995182. The last update date is 2020-08-22.
Second Chance For You's current location address is 2213 Southwind Dr, Charlotte, North Carolina. You can contact this provider via phone number 7043996320. 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 | 7043996320 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jones Shanicka Kertrenia |
| Credentials | CNA |
| Telephone Number | 7048075910 |
NPI Number Detail
| NPI Number | 1104995182 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2213 Southwind Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282168846 |
| Phone Number | 7043996320 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 060-1002 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique identifier code issued to Second Chance For You by the Centers for Medicare & Medicaid Services (CMS)?
The Second Chance For You has been assigned the NPI (National Provider Identifier) 1104995182. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Second Chance For You is physically located?
The Second Chance For You is situated at the following address: 2213 Southwind Dr, Charlotte, NC 282168846.
What is Second Chance For You's area of expertise and its corresponding taxonomy classification?
The Second Chance For You's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did Second Chance For You receive its 1104995182 assignment from the Centers for Medicare & Medicaid Services?
The Second Chance For You was assigned its 1104995182 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Second Chance For You most recently updated or refreshed?
The details pertaining to the Second Chance For You, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC