Second Chance

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20161565425 Issued in NV

Legal business name

SECOND CHANCE

Practice address

1428 Desert Ridge Ave
North Las Vegas, NV 89031-5003

Phone

(702) 809-0993

NPI assigned

Sep 24, 2016

Organization subpart

No

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

Authorized official

Name

Mahogany J Boyd

Title

Owner

Phone

(702) 809-0993

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zephra Jackson

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1629527817
  NPD (past)

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1780133363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 DESERT RIDGE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315003",
            "telephone_number": "702-809-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 DESERT RIDGE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315003",
            "telephone_number": "702-809-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MAHOGANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-809-0993"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161565425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Scroggins
• Kiana Scruggs
• SCSC Enterprises, Inc.
• Megan Scudder
• Kathie Sears
• Second Chance Resources LLC
• Sophia Sedarri Fiorella
• Mawuena Igol Kwame Sedzro
• Kathy Seekatz, APRN, FNP-C, FNP-BC
• Phyllis Loretta Seffel-Kurr, LPTA

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.