Active NPI
Second Chance Home Care, LLC
- Home Health Agency
- East Hartford, CT
National Provider Identifier
1114283397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCA 0000607
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.