2ND Chance Community Support Outreach

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

2ND CHANCE COMMUNITY SUPPORT OUTREACH

Practice address

308 St Nicholas TRL
Gibsonville, NC 27249-2780

Phone

(336) 449-4344

Fax

(336) 449-4344

NPI assigned

Feb 19, 2010

Last updated

Feb 23, 2010By 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

Ms. Harriett Siler

Title

Social Worker

Phone

(336) 449-4344

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1548582349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ST NICHOLAS TRL",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492780",
            "telephone_number": "336-449-4344",
            "fax_number": "336-449-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 ST NICHOLAS TRL",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492780",
            "telephone_number": "336-449-4344",
            "fax_number": "336-449-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND CHANCE COMMUNITY SUPPORT OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "SILER",
        "authorized_official_first_name": "HARRIETT",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "336-449-4344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Homes, LLC
• Back to Basics Home Medical Visits
• Blackwell-Rankin Inc (Home Away From Home Site 2)
• Linsey Blunt, DPT
• Dominique Burgess

• In Home Supportive Care Agency in Gibsonville, NC
• Providers in Gibsonville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.