NPIMap

Organization Active NPI

Homeofsecondchances,LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1669776779
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOMEOFSECONDCHANCES,LLC
Practice address
2300 W Meadowview Rd Ste.206
Greensboro, NC 27407-3401
Phone
(336) 285-9031
Fax
(336) 285-9032
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Mrs. Cynthia Jones
Title
Ceo/Owner
Phone
(336) 285-9031

Specialties & licenses 1

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

Addresses

Primary practice location

2300 W Meadowview Rd Ste.206
Greensboro, NC 27407-3401

Mailing address

2300 W Meadowview Rd Ste.206
Greensboro, NC 27407-3401
Phone (336) 285-9031

Other identifiers 1

IdentifierTypeStateIssuer
8302865MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Home of Second Chances LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1669776779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD STE.206",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073401",
            "telephone_number": "336-285-9031",
            "fax_number": "336-285-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD STE.206",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073401",
            "telephone_number": "336-285-9031",
            "fax_number": "336-285-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEOFSECONDCHANCES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "336-285-9031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302865",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.