NPIMap

Organization Active NPI

First & Second Chance Adult Care Services Inc.

  • Adult Mental Health Clinic/Center
  • Kannapolis, NC
National Provider Identifier
1811242480
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-013-170 Issued in NC
Legal business name
FIRST & SECOND CHANCE ADULT CARE SERVICES INC.
Practice address
401 Jackson Park Rd
Kannapolis, NC 28083-3655
Phone
(704) 252-4094
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Ms. Sharon Edwards Berryman
Title
Owner
Phone
(704) 252-4094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHL-013-170 NC Primary

Addresses

Primary practice location

401 Jackson Park Rd
Kannapolis, NC 28083-3655

Mailing address

1185 Dale Earnhardt Blvd
Kannapolis, NC 28083-3201

Other names 1

  • Rose of Sharon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Second Chance Adult Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1811242480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JACKSON PARK RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833655",
            "telephone_number": "704-252-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST & SECOND CHANCE ADULT CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-252-4094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-013-170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose of Sharon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.