Second Chance Case Management Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SECOND CHANCE CASE MANAGEMENT INC

Practice address

15485 Eagle Nest LN Ste 150
Miami Lakes, FL 33014-2200

Phone

(786) 302-5224

Fax

(786) 396-5317

NPI assigned

Jun 30, 2020

Last updated

Apr 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anneliesse Santana HernandezNPI 1376177345

Title

Owner

Phone

(786) 302-5224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Second Chance Case Management Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Second Chance Case Management Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Lakes, FL
  • NPI 1063152346
  NPD tax ID
• Second Chance Case Management Inc

  • Homemaker
  • Hialeah, FL
  • NPI 1174383095
  NPD tax ID

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.

• Victor Astacio, PH.D.

  • Psychologist
  • Miramar, FL
  • NPI 1710329636
  Medicare reassignment NPD
• Anneliesse Santana Hernandez

  • Case Management Agency
  • Miami Lakes, FL
  • NPI 1376177345
  NPD (past) Authorized official

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1316564966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 150",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142200",
            "telephone_number": "786-302-5224",
            "fax_number": "786-396-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 150",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142200",
            "telephone_number": "786-302-5224",
            "fax_number": "786-396-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE CASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "SANTANA HERNANDEZ",
        "authorized_official_first_name": "ANNELIESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-302-5224"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth C Schobel, MD
• Scope Medical Care Corp
• Cindy Scorpo-Lucas, M.S., CCC-SLP
• SD Behavioral Connections, LLC
• Second Chance Case Management Inc
• Sedam Medical Center Inc
• Eddy Juan Sedeno III, DMD, MS
• Melissa A Sedeno, DMD
• Melany Segui Rosa
• Antonio Ernesto Segura Reina

• Case Management Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.