Blessed by 2ND Chance LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BLESSED BY 2ND CHANCE LLC

Practice address

2302 E Yale St
Phoenix, AZ 85006-1535

Phone

(773) 412-4149

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Eric Laster

Title

Owner

Phone

(773) 412-4149

Specialties & licenses 1

Addresses

Other names 1

• Blessed by 2nd Chance LLC Doing business as

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1366154262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 E YALE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061535",
            "telephone_number": "773-412-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 E YALE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061535",
            "telephone_number": "773-412-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED BY 2ND CHANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-412-4149"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed by 2nd Chance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Bleger, PA-C
• Maria Bleicher
• Cody Blentlinger
• Blesdani Care LLC
• Blessed Behavioral Health LLC
• Blessed L Home Care LLC
• Tiffani Blessie, DMD
• Blessinglaz Health and Wellness LLC
• Ian Andru Blessington
• Panagiotis Bletsis, MD

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.