Home of Second Chances

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008103 Issued in NC

Legal business name

HOME OF SECOND CHANCES

Practice address

2300 W Meadowview Rd
Greensboro, NC 27407-3720

Phone

(336) 285-9031

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Terry Carter, LCSW

Title

Iih Team Lead

Phone

(336) 285-9031

Specialties & licenses 1

Addresses

Tax ID family

Home of Second Chances2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home of Second Chances

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1356778906
  NPD tax ID

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1447686647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073720",
            "telephone_number": "336-285-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073720",
            "telephone_number": "336-285-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF SECOND CHANCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "IIH TEAM LEAD",
        "authorized_official_telephone_number": "336-285-9031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Allen Holton, CRNA
• Ariel Holtzman, CRNA
• Scott Holwerda, M.D.
• Barry Gray Holyfield
• Home of Second Chances
• Home of Second Chances, LLC
• Home of Second Chances,LLC
• Home Strong Therapy LLC
• Homeofsecondchances,LLC
• Deanna Marie Homer, PHARM.D.

• All providers in Greensboro, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.