Second Chance Group Home Inc.

LBN: Second Chance Group Home Inc.
Second Chance Group Home Inc. is an health care organization with primary practice located at 4548 Powderhorn Place Dr , Clermont FL 34711-8940. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Second Chance Group Home Inc. can be contacted via phone (352) 396-1247, or through Roberson, Ricky Lamar via phone (352) 396-1247.

Contact Information

Primary practice address
4548 Powderhorn Place Dr Clermont FL 34711-8940
Phone: (352) 396-1247
Fax: (352) 394-2353
Website:
Map and Directions
Authorized official contact:
Name: Roberson, Ricky Lamar
Phone: (352) 396-1247

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1245982677
LBN Legal business name Second Chance Group Home Inc.
DBA Doing business as
Authorized official Roberson, Ricky Lamar
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 3 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.

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