A Second Chance for Life

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

A SECOND CHANCE FOR LIFE

Practice address

3810 Pineneedle Dr
Greensboro, NC 27405-2911

Phone

(336) 954-5692

NPI assigned

Nov 3, 2013

Last updated

Nov 7, 2013By 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

Natasha Latrayan Murphy

Title

Manager

Phone

(336) 954-5692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1669801379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3062",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 PINENEEDLE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274052911",
            "telephone_number": "336-954-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SECOND CHANCE FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "LATRAYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-954-5692"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.