Organization Active NPI

Second Chance Home Care, LLC

  • Home Health Agency
  • East Hartford, CT
National Provider Identifier
1114283397
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCA 0000607 Issued in CT
Legal business name
SECOND CHANCE HOME CARE, LLC
Practice address
547 Burnside Ave, Suite 101
East Hartford, CT 06108
Phone
(860) 818-8075
Fax
(860) 282-8844
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Mrs. Veronica T Anderson
Title
Director
Phone
(860) 818-8075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA 0000607 CT Primary

Addresses

Primary practice location

547 Burnside Ave, Suite 101
East Hartford, CT 06108

Mailing address

547 Burnside Ave Ste 101
East Hartford, CT 06108-3503
Phone (860) 818-8075

National Provider Directory

National Provider Directory

Locations

547 Burnside Ave
Ste 101
East Hartford, CT 06108
Phone (860) 818-8075

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1114283397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BURNSIDE AVE STE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083503",
            "telephone_number": "860-818-8075",
            "fax_number": "860-282-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 BURNSIDE AVE, SUITE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108",
            "telephone_number": "860-818-8075",
            "fax_number": "860-282-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-818-8075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA 0000607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.