SECOND CHANCE ADDICTION CARE LLC (NPI# 1952888505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952888505 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE ADDICTION CARE LLC |
| Practice Address |
9800 Falls Rd Ste 7 Potomac MD 20854-3942 |
| Practice Telephone | 3016338313 |
| Mailing Telephone | 3016338313 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | NICHOLAS SCOTT ALBAUGH (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 3015384114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH001062 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | FACILITY LICENSE | BH001062 | 01 |
| Street Address |
9800 FALLS RD STE 7 |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440054 | Best Dental Md, LLC | Dentist | 9800 Falls Rd Ste 7, Potomac, MD 20854-3942 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SECOND CHANCE ADDICTION CARE 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.