Second Chance Case Management LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SECOND CHANCE CASE MANAGEMENT LLC

Practice address

400 Pharr Rd NE Unit 729
Atlanta, GA 30305-2071

Phone

(404) 806-0059

Fax

(404) 400-5431

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Charles Haddon HendersonNPI 1023734035

Title

Ceo

Phone

(404) 791-8070

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Charles Haddon Henderson

  • Case Manager/Care Coordinator
  • Atlanta, GA
  • NPI 1023734035
  NPD Authorized official

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1992412456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PHARR RD NE UNIT 729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052071",
            "telephone_number": "404-806-0059",
            "fax_number": "404-400-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PHARR RD NE UNIT 729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052071",
            "telephone_number": "404-806-0059",
            "fax_number": "404-400-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HADDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-791-8070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "callobklhcbilhphinckomhgkigmfocg",
            "affiliation": "N",
            "endpointDescription": "Google",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Pharr Rd NE Unit 729",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303052071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Rose Sebaugh, MS, RDN, LD
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• Greta Timea Sebestyen, MS, RD, LD
• Sec of Georgia Corp
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• Hannah Secunda, CRNA
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• Case Management Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.