Organization Active NPI

Another Chance Rehabilitation Services Inc

  • Customized Equipment (DME)
  • Tucker, GA
National Provider Identifier
1194738401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ANOTHER CHANCE REHABILITATION SERVICES INC
Practice address
2090 Tucker Industrial Rd
Suite A8
Tucker, GA 30084-6221
Phone
(770) 414-0008
Fax
(770) 414-0082
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mang Nwokeka Ndukwe, PHD
Title
President
Phone
(770) 414-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2090 Tucker Industrial Rd
Suite A8
Tucker, GA 30084-6221

Mailing address

2090 Tucker Industrial Rd
Suite A8
Tucker, GA 30084-6221
Phone (770) 414-0008

National Provider Directory

National Provider Directory
Tax ID family
Another Chance Rehabilitation Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2090 Tucker Industrial Rd
Ste A8
Tucker, GA 30084
Phone (770) 414-0008

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194738401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 TUCKER INDUSTRIAL RD",
            "address_2": "SUITE A8",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846221",
            "telephone_number": "770-414-0008",
            "fax_number": "770-414-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 TUCKER INDUSTRIAL RD",
            "address_2": "SUITE A8",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846221",
            "telephone_number": "770-414-0008",
            "fax_number": "770-414-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "MANG",
        "authorized_official_middle_name": "NWOKEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-414-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.