2ND CHANCE


Address: 1420 N Broadway, Lexington, KY 40505-3155
Phone: 8593689874

2ND CHANCE (NPI# 1215348214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100338550 05

Other Data Sources

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

Office Location

Street Address 1420 N BROADWAY
City LEXINGTON
State KY
Zip Code 40505-3155

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LEXINGTON
Zip Code 40505

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Dataset Information

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.

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