Second Chance II LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SECOND CHANCE II LLC

Practice address

3413 Dundalk Ave
Dundalk, MD 21222-5921

Phone

(443) 503-5096

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Denise Taylor, CEONPI 1477317113

Title

Ceo

Phone

(443) 503-5096

Specialties & licenses 1

Addresses

Tax ID family

One More Chance Recovery II LLC2 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.

• One More Chance Recovery II LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1255957296
  NPD tax ID

Locations

Practitioners 1

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

• Denise Taylor

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1477317113
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1851089395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 DUNDALK AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225921",
            "telephone_number": "443-503-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 DUNDALK AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225921",
            "telephone_number": "443-503-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 Dundalk Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212225921",
            "country_code": "US",
            "telephone_number": "443-503-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SECOND CHANCE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-503-5096",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel K. Huang DDS LLC
• Emily Sapp, CRNP
• Matthew Wayne Schlegel, PTA
• Rosemary Schorm, PTA
• Timothy Allen Scranton, OD
• Heather Sellman, PHARMD
• Jesal Nishit Shah
• Fawad Mahmood Shaikh, RPH
• Shelley Sheeler, LCSW-C
• Robin Kathleen Sheppard, LPTA

• Community/Behavioral Health Agency in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.