SECOND CHANCE RECOVERY (NPI# 1144451683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144451683 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE RECOVERY |
| Practice Address |
3816 Linwood Shreveport LA 71103 |
| Mailing Address |
3816 Linwood Ave Shreveport LA 71103 |
| Practice Telephone | 3187416954 |
| Practice Fax Number | 3187416954 |
| Mailing Telephone | 3187416954 |
| Mailing Fax Number | 3187416954 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Authorized Official Name | MRS. CYNTHIA HOLLINS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 3187416954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417197104 | Second Chance Recovery | Community/Behavioral Health | 4012 Benjamin Ct, Rocky Mount, NC 27803-1441 | 2009-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Second Chance Recovery Home LLC | 169 45th Ave, Greeley, CO 80634 |
| Oregon Corporations, Companies and Business Names | SECOND CHANCE RECOVERY HOMES, LLC | 353 Se Baseline St, Hillsboro, OR 97123 |
| System for Award Management (SAM) Entities | SECOND CHANCE RECOVERY INC | 7011 Harwin Dr #280, Houston, TX 77036-2139 |
| Street Address |
3816 LINWOOD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
| 1982253340 | Total Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1111, Shreveport, LA 71101-5303 | 2019-09-09 |
| 1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
| 1750730057 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10460 Norris Ferry Rd, Shreveport, LA 71106 | 2016-06-07 |
| 1396117735 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4701 Northport Blvd, Shreveport, LA 71107 | 2015-10-26 |
| 1437521879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127 | 2015-10-26 |
| 1871905992 | Tap-alert | Durable Medical Equipment & Medical Supplies | 3305 W 70th St Unit D, Shreveport, LA 71108-4609 | 2014-05-23 |
| 1558709279 | Nla Medical LLC | Durable Medical Equipment & Medical Supplies | 8125 Captain Mary Miller Dr, Shreveport, LA 71115-2982 | 2013-06-05 |
| 1225381981 | Med Health Depot, LLC | Durable Medical Equipment & Medical Supplies | 6658 Youree Dr, Suite 180 #298, Shreveport, LA 71105-4648 | 2012-10-18 |
| 1902176142 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9510 Ellerbe Rd, Shreveport, LA 71106-7406 | 2012-01-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on SECOND CHANCE RECOVERY.
| 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.