NPIMap

Organization Active NPI

Second Chance, Inc.

  • Community/Behavioral Health Agency
  • Newark, CA
National Provider Identifier
1265600472
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
018060 Issued in CA
Legal business name
SECOND CHANCE, INC.
Practice address
6330 Thornton Ave
Suite a
Newark, CA 94560-3734
Phone
(510) 745-1675
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Mr. Jimmy L Rogers
Title
Executive Director
Phone
(510) 745-1675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 018060 CA Primary

Addresses

Primary practice location

6330 Thornton Ave
Suite a
Newark, CA 94560-3734

Mailing address

6330 Thornton Ave
Suite a
Newark, CA 94560-3734
Phone (510) 745-1675

Other names 1

  • Second Chance Phoenix Women's Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Second Chance Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

6330 Thornton Ave
#A
Newark, CA 94560
Phone (510) 745-1675

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1265600472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 THORNTON AVE",
            "address_2": "SUITE A",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603734",
            "telephone_number": "510-745-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 THORNTON AVE",
            "address_2": "SUITE A",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603734",
            "telephone_number": "510-745-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-745-1675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "018060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Chance Phoenix Women's Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.