Organization Active NPI

Another Chance for Hope LLC

  • Community/Behavioral Health Agency
  • Creedmoor, NC
National Provider Identifier
1386409894
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANOTHER CHANCE FOR HOPE LLC
Practice address
2555 Capitol Dr Ste E-2
Creedmoor, NC 27522-7398
Phone
(919) 931-8838
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Fredricka Breaker
Title
Ceo
Phone
(919) 931-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2555 Capitol Dr Ste E-2
Creedmoor, NC 27522-7398

Mailing address

2555 Capitol Dr Ste E-2
Creedmoor, NC 27522-7398
Phone (757) 406-9040

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

Locations

2555 Capitol Dr
Ste E2
Creedmoor, NC 27522
Phone (919) 931-8838

2555 Capitol Dr
Creedmoor, NC 27522
Phone (919) 451-5498

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1386409894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CAPITOL DR STE E-2",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227398",
            "telephone_number": "757-406-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAPITOL DR STE E-2",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227398",
            "telephone_number": "919-931-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE FOR HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BREAKER",
        "authorized_official_first_name": "FREDRICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-931-8838"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.