Organization Active NPI

Another Chance Supportive Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1245935337
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANOTHER CHANCE SUPPORTIVE SERVICES
Practice address
6305 Belair Rd Ste 1
Baltimore, MD 21206-1817
Phone
(667) 310-1079
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Paulene Carter
Title
Director
Phone
(667) 310-1079

Specialties & licenses 1

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

Addresses

Primary practice location

6305 Belair Rd Ste 1
Baltimore, MD 21206-1817

Mailing address

6305 Belair Rd Ste 1
Baltimore, MD 21206-1817
Phone (667) 310-1079

National Provider Directory

National Provider Directory

Locations

6305 Belair Rd
Ste 1
Baltimore, MD 21206
Phone (667) 310-1079

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1245935337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 BELAIR RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061817",
            "telephone_number": "667-310-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 BELAIR RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061817",
            "telephone_number": "667-310-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PAULENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "667-310-1079"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.