NPIMap

Organization Active NPI

Second Chance Resource Center

  • Voluntary or Charitable Agency
  • Baltimore, MD
National Provider Identifier
1043079536
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SECOND CHANCE RESOURCE CENTER
Practice address
2105 Echodale Ave
Baltimore, MD 21214-1927
Phone
(202) 902-3022
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Tonya Hicks
Title
Executive Director
Phone
(202) 902-3022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Voluntary or Charitable Agency 251V00000X Primary
Air Carrier 344800000X

Addresses

Primary practice location

2105 Echodale Ave
Baltimore, MD 21214-1927

Mailing address

2105 Echodale Ave
Baltimore, MD 21214-1927
Phone (202) 902-3022

Other names 1

  • Second Chance Resource Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1043079536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ECHODALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141927",
            "telephone_number": "202-902-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 ECHODALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141927",
            "telephone_number": "202-902-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-902-3022"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Chance Resource Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Second Chance Resource Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Second Chance Resource Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.