NPIMap

Organization Active NPI

Second Chance Services Unlimited, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springdale, MD
National Provider Identifier
1275744120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SECOND CHANCE SERVICES UNLIMITED, INC.
Practice address
3603 Seth Court
Springdale, MD 20774
Phone
(301) 386-6066
Fax
(301) 386-7787
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Darren L. Purnell
Title
Administrator
Phone
(301) 386-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3603 Seth Court
Springdale, MD 20774

Mailing address

3603 Seth Court
Springdale, MD 20774
Phone (301) 386-6066

National Provider Directory

National Provider Directory
Tax ID family
Second Chance Services Unlimited Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275744120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 SETH COURT",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-386-6066",
            "fax_number": "301-386-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 SETH COURT",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-386-6066",
            "fax_number": "301-386-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE SERVICES UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-386-6066"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.