SECOND CHANCE RECOVERY CENTER, INC. (NPI# 1790301893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790301893 |
Entity Type | Organization |
Organization Name | SECOND CHANCE RECOVERY CENTER, INC. |
Practice Address |
4238 Ne 1st St Pryor OK 74361-9614 |
Practice Telephone | 9188251930 |
Practice Fax Number | 9188251931 |
Mailing Telephone | 9188251930 |
Mailing Fax Number | 9188251931 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Authorized Official Name | HARLO DEAN RINGLING II (CEO) |
Authorized Official Telephone | 9182849201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
4238 NE 1ST ST |
City | PRYOR |
State | OK |
Zip Code | 74361-9614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
Find all providers in zip 74361 |
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 |
---|---|---|---|---|
1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
1417297680 | Lavina Kay Clark | Substance Abuse Rehabilitation Facility | 126 E 6th St, Pawhuska, OK 74056-4204 | 2013-02-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SECOND CHANCE RECOVERY CENTER, INC..
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.