Secong Chance Transitional Living Inc

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

SECONG CHANCE TRANSITIONAL LIVING INC

Practice address

10816 Bere Island Dr
Charlotte, NC 28278-6644

Phone

(646) 206-0026

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Rahisha Lilly

Title

President

Phone

(646) 206-0026

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1912582701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786644",
            "telephone_number": "646-206-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786644",
            "telephone_number": "646-206-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECONG CHANCE TRANSITIONAL LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "RAHISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-206-0026"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlilly@2ndchancenc.org",
            "affiliation": "N",
            "address_1": "10816 Bere Island Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282786644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Charlotte, NC by specialty
• Chore Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.