Csa Enterprise, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

3754 Issued in TX

Legal business name

CSA ENTERPRISE, INC.

Doing business as

2nd Chance Rehab & Behavioral Service, Inc.

Practice address

3309 Sedona LN
15707C Coit Rd Ste 119
McKinney, TX 75070-4455

Phone

(214) 552-8128

Fax

(972) 542-8799

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By 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

Dwanna L Swan, MS

Title

Administrator

Phone

(214) 552-8128

Specialties & licenses 1

Addresses

Other names 1

• 2nd Chance Rehab & Behavioral Service, Inc. Doing business as

Tax ID family

2ND Chance Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Csa Enterprise, Inc.

  dba 2nd Chance Rehab

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • McKinney, TX
  • NPI 1952527475
  NPD tax ID

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578625786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 SEDONA LANE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "214-552-8128",
            "fax_number": "972-542-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SEDONA LN",
            "address_2": "15707C COIT RD STE 119",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704455",
            "telephone_number": "214-552-8128",
            "fax_number": "972-542-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSA ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "DWANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-552-8128",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Chance Rehab & Behavioral Service, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crown Care Home Health LLC
• Joshua Paul Crumley, PT, DPT, CSCS
• Edelwina Cruz, LVN
• Mark Luke Dizon Cruz, OTL
• Crystal Mind Psychiatry and Counseling
• Csa Enterprise, Inc. (2nd Chance Rehab)
• Stephanie Lee-Blanche Cudjoe, M.D.
• Carissa Marie Cullumber, LCSW-S
• Cultiv8 Speech Services, LLC
• Cultivate Connections Therapy, PLLC

• Case Management Agency in McKinney, TX
• Providers in McKinney, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.