Chance

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

302R00000X Issued in GA

Legal business name

CHANCE

Practice address

1645 N 2ND Street Ext
Griffin, GA 30223-1638

Phone

(770) 227-1404

Fax

(770) 227-1404

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Sharon G Reeves

Title

Ceo

Phone

(770) 227-1404

Specialties & licenses 1

Addresses

Tax ID family

Chance2 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.

• Chance

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Griffin, GA
  • NPI 1619284981
  NPD tax ID

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1245543123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N 2ND STREET EXT",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231638",
            "telephone_number": "770-227-1404",
            "fax_number": "770-227-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N 2ND STREET EXT",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231638",
            "telephone_number": "770-227-1404",
            "fax_number": "770-227-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-227-1404"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceed Community Enrichment, LLC
• Dione Marie Centrella, PHARM.D.
• Abe Chab, DMD
• Timothy Daniel Chamblee, M.ED., CF-SLP
• Champion Healthcare Solutions, LLC
• Chance
• Venkata Siva Dilisha Chandanala, MD
• Tina Marie Chandler, PT
• Madhu Bhargavi Chandra, MD
• Gregory Chapman

• Health Maintenance Organization in Griffin, GA
• Providers in Griffin, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.