2Ndchanceproject

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

2NDCHANCEPROJECT

Practice address

1232 Marshall Ave Apt 2
Saint Paul, MN 55104-6471

Phone

(651) 493-4194

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Lom

Title

Director of Operations

Phone

(651) 493-4194

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1508462664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 MARSHALL AVE APT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 MARSHALL AVE APT 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046471",
            "telephone_number": "651-493-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2NDCHANCEPROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "LOM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "651-493-4194"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashleylom@2ndchanceproject.faith",
            "affiliation": "N",
            "address_1": "1232 Marshall Ave Apt 2",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551046471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.