Second Chance Assisted Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SECOND CHANCE ASSISTED LIVING

Practice address

30995 Lakeview Blvd Apt 7209
Wixom, MI 48393-2858

Phone

(734) 666-5797

Fax

(866) 620-1406

NPI assigned

Nov 30, 2024

Last updated

Nov 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chantelle Ritchie

Title

Administrator

Phone

(248) 719-4608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1164248670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483761284",
            "telephone_number": "734-666-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30995 LAKEVIEW BLVD APT 7209",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932858",
            "telephone_number": "734-666-5797",
            "fax_number": "866-620-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-719-4608"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Ryde, CTRS
• Gregory Sage
• Mavis Akose Sarpong Krampah
• Renee Schultz
• Madeline Ann Schulz, ATC
• Ranjan Sen, OTR
• Serenity at Home, LLC
• Jason Alexander Setsuda, D.O.
• Nadia Shaba
• Paul S Shabou, MD

• Home Health Agency in Wixom, MI
• Providers in Wixom, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.