Organization Active NPI

Second Chance Initiative LLC

  • Community/Behavioral Health Agency
  • Eureka, CA
National Provider Identifier
1508709163
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SECOND CHANCE INITIATIVE LLC
Practice address
270 5TH St
Eureka, CA 95501-0304
Phone
(862) 666-4415
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Authorized official

Name
Nisarg Patel
Title
Vice President
Phone
(862) 666-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

270 5TH St
Eureka, CA 95501-0304

Mailing address

270 5TH St
Eureka, CA 95501-0304
Phone (862) 666-4415

National Provider Directory

National Provider Directory

Locations

270 5th St
Eureka, CA 95501
Phone (862) 666-4415

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1508709163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 5TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010304",
            "telephone_number": "862-666-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 5TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010304",
            "telephone_number": "862-666-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE INITIATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NISARG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "862-666-4415"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.