Second Chance Support Services LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SECOND CHANCE SUPPORT SERVICES LLC

Practice address

741 Irwin St
Anchorage, AK 99508-1252

Phone

(907) 623-7432

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By 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

Molua Smith Becke

Title

Administrator

Phone

(907) 602-0146

Specialties & licenses 1

Addresses

Other names 1

• Second Chance Support Services LLC Former legal business name

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1376169300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 FOXRIDGE CIR UNIT 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182702",
            "telephone_number": "907-602-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 IRWIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081252",
            "telephone_number": "907-623-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4924 Klondike Ave Spc 99",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082414",
            "country_code": "US",
            "telephone_number": "907-334-1029 x90729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND CHANCE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "BECKE",
        "authorized_official_first_name": "MOLUA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-602-0146"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Chance Support Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Siri Seavey
• Israel Seay
• Robert Lee Seay II, PEER SUPPORT
• Jennifer Florence Sebestik, PHARM.D.
• Second Chance Suport Services
• Secure Care Transport LLC
• Brittany A Sedlacek, PA-C
• Nora Allison Sedlock
• Jack Donovan Sedwick II, M.D.
• William Rutan Sedwick, DD.S.

• Assisted Living Facility (Mental Illness) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.