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2ND CHANCE COMMUNITY SUPPORT OUTREACH NPI 1548582349


NPI Information

NPI: 1548582349
Provider Name: 2ND CHANCE COMMUNITY SUPPORT OUTREACH
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
308 ST NICHOLAS TRL
GIBSONVILLE, NC
ZIP 27249
Phone: (336) 449-4344
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2ND CHANCE COMMUNITY SUPPORT OUTREACH is an in home supportive care in Gibsonville, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. 2ND CHANCE COMMUNITY SUPPORT OUTREACH NPI is 1548582349. The provider is registered as an organization entity type.

The provider's business location address is:

308 ST NICHOLAS TRL
GIBSONVILLE, NC
ZIP 27249-780
Phone: (336) 449-4344
Fax: (336) 449-4344

The provider's authorized official is Harriett Siler .
The authorized official title is Social Worker and has the following contact phone number (336) 449-4344.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 2/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2347C00000XPrivate VehicleNo
3253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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