SECOND CHANCE HOMES (NPI# 1750769683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750769683 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE HOMES |
| Other Organization Name | MARY KATHERINES CHARITIES |
| Practice Address |
17300 Schaefer Hwy # A-2 Detroit MI 48235-4133 |
| Practice Telephone | 5863396101 |
| Mailing Telephone | 5863396101 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MR. OKEZIE WACHUKU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5863396101 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARY KATHERINES CHARITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 71608N | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OF MICHIGAN | 71608N | 01 |
| Other Name | Type Code |
|---|---|
| MARY KATHERINES CHARITIES | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SECOND CHANCE HOMES | 1987 Camellia Ave, Medford, OR 97504 |
| North Carolina Corporations | SECOND CHANCE HOMES LLC | 5821 Fairview Road, Suite 302, Charlotte, NC 28209 |
| Washington State Corporations | SECOND CHANCE HOMES LLC | 521 15th Ave, Kirkland, WA 98033-5608 |
| Indiana Business Entities | SECOND CHANCE HOMES, INC. | 1830-1 Michigan St, Hammond, IN 46320 |
| Iowa Business Entities | SECOND CHANCE HOMES, LLC | 230 N 1st Ave West, Hartley, IA 51346 |
| Street Address |
17300 SCHAEFER HWY # A-2 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1154898146 | Israel Agodu | Contractor | 6474 Rosemont Ave, Detroit, MI 48228-4754 | 2018-10-27 |
| 1356894943 | Metecia Smith | Contractor | 11138 Findlay St, Detroit, MI 48205-4714 | 2016-07-29 |
| 1205286267 | Megan Boyle | Contractor | 17183 Griggs St, Detroit, MI 48221-2426 | 2016-06-20 |
| 1124486964 | Karen Porter | Contractor | 13994 Minock St, Detroit, MI 48223-2804 | 2016-02-08 |
| 1578936050 | Inglish Reed-jones | Contractor | 15 E Kirby St Ste B-7, Detroit, MI 48202-4047 | 2015-11-05 |
| 1811373269 | Venise Omeally | Contractor | 4757 Anthony Wayne Dr, Apt 2, Detroit, MI 48201-3750 | 2015-08-08 |
| 1124404553 | Wanda Marie Williams | Contractor | 4104 Woodhall St, Detroit, MI 48224-2221 | 2015-08-07 |
| 1316323942 | Vanessa Bryant | Contractor | 19691 Hasse St, Detroit, MI 48234-2155 | 2015-08-05 |
| Find all providers in DETROIT | ||||
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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.