Active NPI
Second Chance for You
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlotte, NC
National Provider Identifier
1104995182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 060-1002
- Legal business name
- SECOND CHANCE FOR YOU
- Practice address
- 2213 Southwind Dr
Charlotte, NC 28216-8846 - Phone
- (704) 399-6320
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kertrenia Shanicka Jones, CNA
- Title
- Owner
- Phone
- (704) 807-5910
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 060-1002 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 060-1002 | NC | Primary |
Addresses
Primary practice location
2213 Southwind Dr
Charlotte, NC 28216-8846
Mailing address
1526 Peachcroft Rd
Charlotte, NC 28216
Phone (704) 399-4464
National Provider Directory
National Provider Directory- Tax ID family
- Second Chance 4 Kidz
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Second Chance 4 Kidz
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlotte, NC
- NPI 1083808497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104995182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 PEACHCROFT RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28216",
"telephone_number": "704-399-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 SOUTHWIND DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168846",
"telephone_number": "704-399-6320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND CHANCE FOR YOU",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KERTRENIA",
"authorized_official_middle_name": "SHANICKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-807-5910",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "060-1002",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "060-1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Sonia Lau Sebastiano, P.A.-C
- Amanda Marie Sebring, MD
- Joseph W Sechler, MD
- Second 2 None Educational Services (Helping Others Health Care Services)
- Second Chance for You (Second Chance 4 Kidz)
- Second Chance Group Homes LLC
- Second Chance Services
- Second Chances Peer Support LLC
- Secong Chance Transitional Living Inc
- Christine Jeannette Secrest, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.