Organization Active NPI

Another Chancee, Inc.

Doing business as Another Chancee Case Management Agency

  • Case Manager/Care Coordinator
  • Dallas, TX
National Provider Identifier
1275846388
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ANOTHER CHANCEE, INC.
Doing business as
Another Chancee Case Management Agency
Practice address
1140 Empire Central Drive
Suite 260
Dallas, TX 75247
Phone
(214) 432-8296
Fax
(214) 203-0803
NPI assigned
Jul 17, 2010
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Mrs. Carolyn McCullough, L.M.S.W., M.DIV.
Title
Chief Executive Officer
Phone
(214) 377-8495

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Case Management Agency 251B00000X 12479 TX
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1140 Empire Central Drive
Suite 260
Dallas, TX 75247

Mailing address

114 Empire Central Drive Suite 260
Dallas, TX 75247

Other identifiers 1

IdentifierTypeStateIssuer
311513101MedicaidTX

Other names 1

  • Another Chancee Case Management Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Another Chancee Case Management Agency2 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

8500 N Stemmons Fwy
Ste 3010I
Dallas, TX 75247
Phone (214) 432-8296

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1275846388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EMPIRE CENTRAL DRIVE SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75247",
            "fax_number": "214-203-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL DRIVE",
            "address_2": "SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75247",
            "telephone_number": "214-432-8296",
            "fax_number": "214-203-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-377-8495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W., M.DIV."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "12479",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311513101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Another Chancee Case Management Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Another Chancee Case Management Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.