SECOND CHANCES CM, LLC (NPI# 1669837175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669837175 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCES CM, LLC |
| Other Organization Name | SECOND CHANCES |
| Practice Address |
16687 Saint Clair Ave Suite 202 East Liverpool OH 43920-9401 |
| Practice Telephone | 3303981076 |
| Mailing Telephone | 3303981076 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | MR. MICHAEL MARANTIS (OWNER) |
| Authorized Official Telephone | 3305028051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Second Chances | Doing Business As Name - Organization |
| Street Address |
16687 SAINT CLAIR AVE SUITE 202 |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608960 | Shashi R Narang | Pediatrics | 16687 Saint Clair Ave, Suite 202, East Liverpool, OH 43920-9401 | 2005-12-05 |
| 1952594111 | Concordia Visiting Nurses | Home Health | 16687 Saint Clair Ave, Suite 202, East Liverpool, OH 43920-9401 | 2007-08-21 |
| 1801946884 | Timothy P. Domer Do,inc | Orthopaedic Surgery | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 2007-01-11 |
| 1609941392 | Berislav Spahija,m.d., Inc. | Physical Medicine & Rehabilitation | 16687 Saint Clair Ave, Suite 201, East Liverpool, OH 43920-9401 | 2006-11-21 |
| 1346353026 | Community Action Agency of Columbiana County, Inc | Clinic/Center | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-08-16 |
| 1427069715 | Ghazanfar Ahmed | Family Medicine | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-08-11 |
| 1629006531 | Jack C Amato | Obstetrics & Gynecology | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-06-29 |
| 1427002161 | Community Action Agency of Columbiana County Inc | Clinic/Center | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-05-19 |
| 1417918111 | Timothy P Domer | Orthopaedic Surgery | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861831521 | Psycare Inc. | General Practice | 15303 St Rte 170, East Liverpool, OH 43920-9585 | 2013-06-17 |
| 1669543906 | Joseph P Sitarik | General Practice | 16844 Saint Clair Ave, East Liverpool, OH 43920-4277 | 2006-11-10 |
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| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
Please comment or provide details below to improve the information on SECOND CHANCES CM, LLC.
| 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.