Second Beginnings Alf

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL11103 Issued in FL

Legal business name

SECOND BEGINNINGS ALF

Practice address

7306 Maple Tree Dr
Jacksonville, FL 32277-2806

Phone

(904) 743-8283

Fax

(904) 743-0747

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Yvonne Duncan

Title

President/ Administrator

Phone

(904) 743-8283

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Nicole Duncan

  • Social Worker
  • Jacksonville, FL
  • NPI 1881987402
  NPD (past)

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1447567540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 MAPLE TREE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772806",
            "telephone_number": "904-743-8283",
            "fax_number": "904-743-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 MAPLE TREE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772806",
            "telephone_number": "904-743-8283",
            "fax_number": "904-743-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND BEGINNINGS ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT/ ADMINISTRATOR",
        "authorized_official_telephone_number": "904-743-8283"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Matthew Seby, MD
• Kendra Seccombe, APRN
• Stacy D Sechrist, LCSW
• Jessica Terry Seckinger, BA, BCABA
• Sean Seckinger
• Second Beginnings Support Services, LLC
• Second Chance Help Center, Inc.
• Elizabeth Ann Secrist, PA
• Secure Connections Therapy Collective PLLC
• Secure Medical Staffing Inc.

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.