Organization Active NPI

Second Chance Community Support Services, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1912138462
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SECOND CHANCE COMMUNITY SUPPORT SERVICES, LLC
Practice address
1915 Chapel Hill Rd Ste a
Durham, NC 27707-1177
Phone
(919) 246-5935
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Ms. Ayesha Razia Murray
Title
President
Phone
(919) 358-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1915 Chapel Hill Rd Ste a
Durham, NC 27707-1177

Mailing address

1915 Chapel Hill Rd Ste a
Durham, NC 27707-1177
Phone (919) 246-5935

National Provider Directory

National Provider Directory

Locations

1915 Chapel Hill Rd
Ste A
Durham, NC 27707
Phone (919) 246-5664

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1912138462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CHAPEL HILL RD STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071177",
            "telephone_number": "919-246-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CHAPEL HILL RD STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071177",
            "telephone_number": "919-246-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COMMUNITY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_middle_name": "RAZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-358-5901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.