Active NPI
Second Chances Inc
- Community/Behavioral Health Agency
- Providence, RI
National Provider Identifier
1770930182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SECOND CHANCES INC
- Doing business as
- recovery connection
- Practice address
- 381 Wickenden St
Providence, RI 02903-4425 - Phone
- (877) 557-3155
- NPI assigned
- May 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Sroufe
- Title
- President
- Phone
- (401) 439-7785
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
381 Wickenden St
Providence, RI 02903-4425
Mailing address
381 Wickenden St
Providence, RI 02903-4425
Phone (877) 557-3155
Other names 1
- recovery connection
National Provider Directory
National Provider Directory- Tax ID family
- Second Chances Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Children's Substance Abuse Rehabilitation Facility
- Providence, RI
- NPI 1841741501
-
- Substance Abuse Rehabilitation Facility
- Providence, RI
- NPI 1205387966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1770930182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 WICKENDEN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034425",
"telephone_number": "877-557-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 WICKENDEN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034425",
"telephone_number": "877-557-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND CHANCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-17",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "SROUFE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-439-7785"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "recovery connection",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.