NPIMap

Organization Active NPI

Second Chance Recovery House LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1174288112
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SECOND CHANCE RECOVERY HOUSE LLC
Practice address
1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304
Phone
(410) 903-8710
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SECOND CHANCE RECOVERY HOUSE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Ms. Litra Simms
Title
Ceo
Phone
(410) 903-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304

Mailing address

1410 Crain Hwy N Ste 5B
Glen Burnie, MD 21061-9304
Phone (410) 903-8710

National Provider Directory

National Provider Directory
Tax ID family
Secondchance Recovery House LLC6 organizations share this tax ID, including this one
Part of
Secondchance Recovery House LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1174288112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 5B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "410-903-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 5B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "410-903-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE RECOVERY HOUSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND CHANCE RECOVERY HOUSE LLC",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "LITRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-903-8710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.