Second Chance 4 Kidz
LBN: Second Chance For You
Second Chance 4 Kidz is an health care organization with primary practice located at 1526 Peachcroft Rd , Charlotte NC 28216-2747. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Second Chance For You can be contacted via phone (704) 231-2889, or through Jones, Kertrenia S via phone (704) 807-5910.
Contact Information
Primary practice address
1526 Peachcroft Rd
Charlotte NC 28216-2747
Phone: (704) 231-2889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 0601002 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 0601002 | North Carolina |
Profile Details
| NPI number | 1083808497 |
|---|---|
| LBN Legal business name | Second Chance For You |
| DBA Doing business as | Second Chance 4 Kidz |
| Authorized official | Jones, Kertrenia S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Aug 29th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083808497 | NPPES |
| North Carolina | MEDICAID | 7805669 |
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