NPIMap

Organization Active NPI

Secondchance Recovery House LLC

  • Substance Abuse Rehabilitation Facility
  • Glen Burnie, MD
National Provider Identifier
1023537800
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SECONDCHANCE RECOVERY HOUSE LLC
Practice address
1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304
Phone
(443) 267-2844
Fax
(866) 450-9832
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Litra L Simms
Title
Executive Director
Phone
(443) 267-2844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304

Mailing address

1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304
Phone (443) 267-2844

Other names 1

  • Rebirth Enhancement Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Secondchance Recovery House LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1410 Crain Hwy N
Ste 5B
Glen Burnie, MD 21061
Phone (410) 903-8710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1023537800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 5B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "443-267-2844",
            "fax_number": "866-450-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 5B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "443-267-2844",
            "fax_number": "866-450-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECONDCHANCE RECOVERY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "LITRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-267-2844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebirth Enhancement Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.