Another Chance, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

221265 Issued in NC

Legal business name

ANOTHER CHANCE, LLC

Practice address

1400 Battleground Ave
Ste. 150-F
Greensboro, NC 27408-8042

Phone

(336) 669-6283

Fax

(336) 698-3849

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By 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

Ms. Bonnie Renee Caskey

Title

Owner/Director

Phone

(336) 669-6283

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1205165495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BATTLEGROUND AVE",
            "address_2": "STE. 150-F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088042",
            "telephone_number": "336-669-6283",
            "fax_number": "336-698-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BATTLEGROUND AVE",
            "address_2": "STE. 150-F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088042",
            "telephone_number": "336-669-6283",
            "fax_number": "336-698-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "336-669-6283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "221265",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "221265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.