Organization Active NPI

Second Chance Seniors LLC

  • Home Health Aide
  • Long Beach, CA
National Provider Identifier
1720984073
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SECOND CHANCE SENIORS LLC
Practice address
745 W 3Rd St Unit 405
Long Beach, CA 90802-2772
Phone
(562) 449-1164
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Jannah Abdurrahman
Title
Owner
Phone
(562) 449-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

745 W 3Rd St Unit 405
Long Beach, CA 90802-2772

Mailing address

745 W 3Rd St Unit 405
Long Beach, CA 90802-2772
Phone (562) 449-1164

National Provider Directory

National Provider Directory

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": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1720984073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W 3RD ST UNIT 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022772",
            "telephone_number": "562-449-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W 3RD ST UNIT 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022772",
            "telephone_number": "562-449-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "ABDURRAHMAN",
        "authorized_official_first_name": "JANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-449-1164"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.