Csa Enterprise, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

CSA ENTERPRISE, INC.

Doing business as

2nd Chance Rehab

Practice address

3309 Sedona LN
McKinney, TX 75070-4455

Phone

(214) 552-8128

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dwanna L Swan, MS

Title

Administrator

Phone

(214) 552-8128

Specialties & licenses 1

Addresses

Other names 1

• 2nd Chance Rehab Doing business as

Tax ID family

2ND Chance Rehab2 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.

• Csa Enterprise, Inc.

  dba 2nd Chance Rehab & Behavioral Service, Inc.

  • Case Management Agency
  • McKinney, TX
  • NPI 1578625786
  NPD tax ID

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952527475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15707 COIT RD STE C",
            "address_2": "119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484463",
            "telephone_number": "214-552-8128",
            "fax_number": "972-542-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SEDONA LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704455",
            "telephone_number": "214-552-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSA ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "DWANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-552-8128",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Chance Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Paul Crumley, PT, DPT, CSCS
• Edelwina Cruz, LVN
• Mark Luke Dizon Cruz, OTL
• Crystal Mind Psychiatry and Counseling
• Csa Enterprise, Inc. (2nd Chance Rehab & Behavioral Service, Inc.)
• Stephanie Lee-Blanche Cudjoe, M.D.
• Carissa Marie Cullumber, LCSW-S
• Cultiv8 Speech Services, LLC
• Cultivate Connections Therapy, PLLC
• Ashley Corrin Cummings, MS/CCC/SLP

• Child Intellectual and/or Developmental Disabilities Respite Care in McKinney, TX
• Providers in McKinney, TX by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.