Second Chance Resources LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20171249461 Issued in NV

Legal business name

SECOND CHANCE RESOURCES LLC

Practice address

5135 Camino Al Norte
Ste 255
North Las Vegas, NV 89031-2387

Phone

(702) 664-1258

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Zephra Jackson

Title

Owner

Phone

(702) 206-2328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1437683232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE",
            "address_2": "STE 255",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312387",
            "telephone_number": "702-664-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE",
            "address_2": "STE 255",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312387",
            "telephone_number": "702-664-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ZEPHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-206-2328"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171249461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Scruggs
• SCSC Enterprises, Inc.
• Megan Scudder
• Kathie Sears
• Second Chance
• Sophia Sedarri Fiorella
• Mawuena Igol Kwame Sedzro
• Kathy Seekatz, APRN, FNP-C, FNP-BC
• Phyllis Loretta Seffel-Kurr, LPTA
• Concepcion De Jesus Segovia de Colin

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.