2ND CHANCE (NPI# 1215348214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215348214 |
Entity Type | Organization |
Organization Name | 2ND CHANCE |
Practice Address |
1420 N Broadway Lexington KY 40505-3155 |
Practice Telephone | 8593689874 |
Practice Fax Number | 8593688822 |
Mailing Telephone | 8593688820 |
Mailing Fax Number | 8593688822 |
Enumeration Date | 2014-05-13 |
Last Update Date | 2019-05-03 |
Authorized Official Name | DEBORAH FARMER (MGR) |
Authorized Official Telephone | 8593688820 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100338550 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | 2ND CHANCE 2 LIVE LIFE FREE FOUNDATION LIMITED | 964 Parker Street, Jamaica Plain, MA 02130 |
System for Award Management (SAM) Entities | 2ND CHANCE 4 GENERATIONS LLC | 1917 State Line Rd, Monticello, FL 32344 |
New York State Corporations | 2ND CHANCE 4 R.E.A.L LLC | P.o. Box 514, Buffalo, Ny 14215 |
Oregon Corporations, Companies and Business Names | 2ND CHANCE ACCESSORY & LEATHER REPAIR, LLC | 624 Chestnut St, Medford, OR 97501 |
Indiana Business Entities | 2ND CHANCE ANIMAL RESCUE OF RICHMOND INCORPORATED | Po Box 2112, Richmond, IN 47375 |
Oregon Corporations, Companies and Business Names | 2ND CHANCE ANIMAL SHELTER, INC | 2057 Nw 4th Ave, Ontario, OR 97914 |
New York State Corporations | 2ND CHANCE AUTO MARKET, LLC | 289 Baylawn Ave, Copiague, Ny 11726 |
Oregon Corporations, Companies and Business Names | 2ND CHANCE AUTO SALES | 4503 Altamont Dr, Klamath Falls, OR 97603 |
Virginia Business Entities | 2nd Chance Auto Sales Inc. | 29086 Lankford Highway, Melfa, Virginia 23410 |
New York State Corporations | 2ND CHANCE AUTO, INC. | 110 Carleton Ave., Central Islip, New York 11722 |
Street Address |
1420 N BROADWAY |
City | LEXINGTON |
State | KY |
Zip Code | 40505-3155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255365243 | Nurses Registry and Home Health Corporation | Home Health | 1420 N Broadway, Lexington, KY 40505-3155 | 2006-07-10 |
1972104040 | Kevin Athy | Social Worker | 1420 N Broadway, Lexington, KY 40505-3155 | 2020-11-05 |
1669849550 | Ashley Rae Perkins | Counselor | 1420 N Broadway, Lexington, KY 40505 | 2015-08-26 |
1154504629 | Nurses Registry and Home Health | Nursing Care | 1420 N Broadway, Lexington, KY 40505-3155 | 2007-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
Find all providers in zip 40505 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396265989 | Kentucky Ohanna Initiative, Inc | Internal Medicine | 1795 Alysheba Way Ste 1001, Lexington, KY 40509-2282 | 2017-06-23 |
1457580003 | Thomas William Howard, IIi | Internal Medicine | 135 E Maxwell St Ste 401, Lexington, KY 40508-2617 | 2009-07-03 |
1184221038 | Compass Investments, LLC | Internal Medicine | 1616 Harrodsburg Rd, Lexington, KY 40504-3706 | 2020-10-05 |
1447793872 | Jessica Michelle Marshal | Internal Medicine | 1740 Nicholasville Rd, 4th Floor, Lexington, KY 40503-1431 | 2016-12-03 |
1477915056 | Anna Maria South | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2016-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671637 | Discover Recovery, LLC | Internal Medicine | 2413 Ring Rd Ste 122, Elizabethtown, KY 42701-5936 | 2020-02-14 |
1033618897 | Lotus Rehab LLC | Internal Medicine | 104 Hardin Ln Ste B, Somerset, KY 42503-3800 | 2018-02-07 |
1538600630 | Cleanslate Medical Group of Kentucky Pllc | Internal Medicine | 210 E Gray St Ste 803, Louisville, KY 40202-3904 | 2017-03-09 |
1083093207 | Mat Prac Group, LLC | Internal Medicine | 204 S Floyd St, Box 8, Louisville, KY 40202-1208 | 2015-05-20 |
1194140772 | Stephanie Prater Walton | Internal Medicine | 14607 Woodlake Trce, Louisville, KY 40245-5134 | 2014-02-19 |
1477562536 | Sanjiv Gupta M.d. P.s.c. | Internal Medicine | 300 St Hwy 1947, Suite A, Grayson, KY 41143-1947 | 2006-08-07 |
1578533766 | Marvin A Bishop | Internal Medicine | 218 S Maple St, Winchester, KY 40391-2494 | 2006-01-23 |
1700870078 | Joanna L Santiesteban | Internal Medicine | 842 E Mountain Pkwy, Salyersville, KY 41465 | 2005-09-01 |
1376547711 | Irwin Randell Cohen | Internal Medicine | 4006 Dutchmans Ln, Suite 100, Louisville, KY 40207-4704 | 2005-06-13 |
1508254087 | Asap Addiction Treatment LLC | Internal Medicine | 400 Venters Ln, Pikeville, KY 41501-3016 | 2015-01-06 |
Find all providers with the same taxonomy |
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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.