Another Chance at Life Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ANOTHER CHANCE AT LIFE INC.

Practice address

4220 Dayton Blvd
Suite F
Red Bank, TN 37415-2790

Phone

(866) 388-9514

NPI assigned

Oct 26, 2011

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Billy J Booth

Title

Director

Phone

(615) 804-3551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1497031140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 VANCE LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370870368",
            "telephone_number": "866-374-4673",
            "fax_number": "615-453-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 DAYTON BLVD",
            "address_2": "SUITE F",
            "city": "RED BANK",
            "state": "TN",
            "postal_code": "374152790",
            "telephone_number": "866-388-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE AT LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-804-3551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Healthcare Services LLC
• Amy Bockmon, PTA
• Adam Forrest Brandon, PHARMACIST
• Caryn Leigh Culver, PHARMD
• Ava Rose Dettore, PA

• Substance Use Disorder Rehabilitation Clinic/Center in Red Bank, TN
• Providers in Red Bank, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

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