NPIMap

Organization Active NPI

Second Chances Comprehensive Services

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1245530500
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1389 Issued in VA
Legal business name
SECOND CHANCES COMPREHENSIVE SERVICES
Practice address
1919 Commerce Dr
Suite 420
Hampton, VA 23666-4269
Phone
(757) 262-2002
Fax
(757) 262-2003
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Damion Mason
Title
Ceo
Phone
(804) 733-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1389 VA Primary

Addresses

Primary practice location

1919 Commerce Dr
Suite 420
Hampton, VA 23666-4269

Mailing address

1919 Commerce Dr
Suite 420
Hampton, VA 23666-4269
Phone (757) 262-2002

National Provider Directory

National Provider Directory
Tax ID family
Second Chances Comprehensive Services2 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

1919 Commerce Dr
Ste 420
Hampton, VA 23666
Phone (757) 262-2002

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1245530500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR",
            "address_2": "SUITE 420",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664269",
            "telephone_number": "757-262-2002",
            "fax_number": "757-262-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR",
            "address_2": "SUITE 420",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664269",
            "telephone_number": "757-262-2002",
            "fax_number": "757-262-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCES COMPREHENSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DAMION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-733-1180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.