Second Chance Services Unlimited Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

DDA1865707 Issued in MD

Legal business name

SECOND CHANCE SERVICES UNLIMITED INC.

Practice address

10001 Derekwood LN Ste 200
Lanham, MD 20706-4871

Phone

(301) 731-0889

Fax

(301) 731-1001

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mamie Lee Bynum

Title

President/Founder

Phone

(301) 731-0888

Specialties & licenses 1

Addresses

Tax ID family

Second Chance Services Unlimited Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Second Chance Services Unlimited, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springdale, MD
  • NPI 1275744120
  NPD tax ID

Locations

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1033365812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 DEREKWOOD LN STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064871",
            "telephone_number": "240-398-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 DEREKWOOD LN STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064871",
            "telephone_number": "301-731-0889",
            "fax_number": "301-731-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE SERVICES UNLIMITED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "301-731-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MD",
            "license": "DDA1865707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Schrote, LCPC
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• Second Family Nursing Services, Inc.
• Haresh Seegopaul, DNP, CRNP, CGRN
• Leonid Selya, MD PHD
• Senior Care Guidance Group Inc. (Missionary Medical Supply Company)
• Dienne Mukete Senje

• Physical Disabilities Residential Treatment Facility in Lanham, MD
• Providers in Lanham, MD by specialty
• Physical Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.