SECOND CHANCE SERVICES UNLIMITED INC. (NPI# 1033365812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365812 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE SERVICES UNLIMITED INC. |
| Practice Address |
10001 Derekwood Ln Ste 200 Lanham MD 20706-4871 |
| Practice Telephone | 3017310889 |
| Practice Fax Number | 3017311001 |
| Mailing Telephone | 2403984152 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MRS. MAMIE LEE BYNUM (PRESIDENT/FOUNDER) |
| Authorized Official Telephone | 3017310888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | DDA1865707 | MD | Residential Treatment Facilities |
| Street Address |
10001 DEREKWOOD LN STE 200 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396135158 | Joy Harris | Residential Treatment Facility, Physical Disabilities | 9608 Tuckerman St, Lanham, MD 20706-3431 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489295 | Seppk | Residential Treatment Facility, Physical Disabilities | 1224 W Old Liberty Rd, Sykesville, MD 21784-9327 | 2017-03-30 |
| 1063891018 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 8604 Briarwood Ct, Laurel, MD 20708-1320 | 2015-05-22 |
| 1164801114 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 20109 Torrey Pond Pl, Montgomery Village, MD 20886-1119 | 2015-05-22 |
| 1942634308 | Isaac J Ntia | Residential Treatment Facility, Physical Disabilities | 621 Sheridan St Apt 14, Hyattsville, MD 20783-3212 | 2013-08-21 |
| 1801231352 | Brightlife Inc | Residential Treatment Facility, Physical Disabilities | 4715 Columbia Hills Ct, Ellicott City, MD 21043-6409 | 2013-05-09 |
| 1619310406 | Rejoice Health Services | Residential Treatment Facility, Physical Disabilities | 7800 Wilson Ave, Parkville, MD 21234-5825 | 2013-04-10 |
| 1598046435 | Home Care Solutions | Residential Treatment Facility, Physical Disabilities | 14 W Patrick St, Frederick, MD 21701-5666 | 2011-09-06 |
| 1649433756 | Liberty Rehabilitation Services | Residential Treatment Facility, Physical Disabilities | 3333 Northmont Rd, Windsor Mill, MD 21244-2953 | 2008-07-08 |
| 1194734251 | The Arc of Washington County, Inc. | Residential Treatment Facility, Physical Disabilities | 820 Florida Avenue, Hagertown, MD 21740 | 2006-08-07 |
| 1710379623 | Positive Therapeutic Touch Inc | Residential Treatment Facility, Physical Disabilities | 6755 Business Pkwy, Suite 306, Elkridge, MD 21075-6753 | 2015-03-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.