SECOND GENESIS, INC
NPI 1053589242
Substance Abuse Rehabilitation Facility in Crownsville, MD

Active since February 11, 2008
107 CIRCLE DR, TARDITIONAL, CROWNSVILLE, MD 21032(301) 621-9013(301) 563-1546 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Second Genesis, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECOND GENESIS, INC (NPI 1053589242) is a healthcare organization registered as a substance abuse rehabilitation facility in Crownsville, Maryland and active in the NPI registry since February 2008. The organization lists J Michael Mcguinness, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053589242
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSECOND GENESIS, INC
Location Address107 CIRCLE DR, TARDITIONALCrownsville, MD 21032-2061
Mailing Address8611 2nd AveSilver Spring, MD 20910-3372 · (301) 563-1545 · Fax (301) 563-1546
Fax(301) 563-1546
Organization SubpartNo
Authorized OfficialJ Michael McguinnessExecutive Director · (301) 563-1545
Enumeration DateFebruary 11, 2008
NPI 1053589242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
107 CIRCLE DR, Crownsville, MD 21032

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
107 CIRCLE DR, CO-OCCURRING
CROWNSVILLE, MD 21032
Social Worker (Clinical)
107 CIRCLE DR
CROWNSVILLE, MD 21032
Clinic/Center (Rehabilitation, Substance Use Disorder)
107 CIRCLE DR
CROWNSVILLE, MD 21032
Substance Abuse Rehabilitation Facility
107 CIRCLE DR
CROWNSVILLE, MD 21032
Substance Abuse Rehabilitation Facility
107 CIRCLE DR
CROWNSVILLE, MD 21032
Substance Abuse Rehabilitation Facility
107 CIRCLE DR
CROWNSVILLE, MD 21032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Genesis, Inc's NPI number?

The NPI number for Second Genesis, Inc is 1053589242. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Second Genesis, Inc located?

Second Genesis, Inc is located at 107 Circle Dr Tarditional, Crownsville, MD 21032. The listed phone number is (301) 621-9013.

What is Second Genesis, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Second Genesis, Inc was last updated on February 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.