Organization Active NPI

Second Chance & Recovery

  • Recovery Care Clinic/Center
  • Lynchburg, VA
National Provider Identifier
1487314753
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
SECOND CHANCE & RECOVERY
Doing business as
Second Chance & Recovery
Practice address
3500 Powhatan St
Lynchburg, VA 24501-6512
Phone
(434) 219-6394
Fax
(434) 219-6394
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Mr. Jay Williams, M.B.A
Title
Office Manager
Phone
(434) 382-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

3500 Powhatan St
Lynchburg, VA 24501-6512

Mailing address

3500 Powhatan St
Lynchburg, VA 24501-6512
Phone (434) 219-6394

Other names 1

  • Second Chance & Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

3500 Powhatan St
Lynchburg, VA 24501
Phone (434) 219-6394

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1487314753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 POWHATAN ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016512",
            "telephone_number": "434-219-6394",
            "fax_number": "434-219-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 POWHATAN ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016512",
            "telephone_number": "434-219-6394",
            "fax_number": "434-219-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE & RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-382-7597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Chance & Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.