Organization Active NPI

Second Chance Home Health Care LLC

  • Home Health Agency
  • Greenville, SC
National Provider Identifier
1629602164
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SECOND CHANCE HOME HEALTH CARE LLC
Practice address
25 Woods Lake Rd Ste 305
Greenville, SC 29607-2762
Phone
(864) 263-7245
Fax
(864) 263-7245
NPI assigned
Feb 24, 2020
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Bertha Ree WilliamsNPI 1689137044
Title
Owner
Phone
(864) 263-7245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25 Woods Lake Rd Ste 305
Greenville, SC 29607-2762

Mailing address

25 Woods Lake Rd Ste 305
Greenville, SC 29607-2762
Phone (864) 263-7245

Other practice location 1

106 Maggie St
Greenville, SC 29605-3643
Phone (864) 263-7245

Other identifiers 1

IdentifierTypeStateIssuer
IHCP-1171OtherSCDHEC

National Provider Directory

National Provider Directory

Locations

25 Woods Lake Rd
Ste 305
Greenville, SC 29607
Phone (864) 263-7245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1629602164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 305",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072762",
            "telephone_number": "864-263-7245",
            "fax_number": "864-263-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 305",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072762",
            "telephone_number": "864-263-7245",
            "fax_number": "864-263-7245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Maggie St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296053643",
            "country_code": "US",
            "telephone_number": "864-263-7245",
            "fax_number": "864-263-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND CHANCE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "REE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-263-7245"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "IHCP-1171",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.