SECOND CHANCE FOR YOU
NPI 1104995182
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

NPI Status: Active since November 06, 2006

Contact Information

2213 SOUTHWIND DR
CHARLOTTE, NC
ZIP 28216
Phone: (704) 399-6320

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About SECOND CHANCE FOR YOU

This page provides the complete NPI Profile along with additional information for Second Chance For You, a provider established in Charlotte, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104995182 assigned on November 2006. The practitioner's primary taxonomy code is 320900000X with license number 060-1002 (NC). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Kertrenia Shanicka Jones Cna (Owner)

NPI
1104995182
Provider Name
SECOND CHANCE FOR YOU
Entity Type
Organization
Location Address
2213 SOUTHWIND DR CHARLOTTE, NC 28216
Location Phone
(704) 399-6320
Mailing Address
1526 PEACHCROFT RD CHARLOTTE, NC 28216
Mailing Phone
(704) 399-4464
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
060-1002
License State
NC
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

060-1002 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KERTRENIA SHANICKA JONES CNA

Authorized Official Title
OWNER
Authorized Official Phone
(704) 807-5910

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104995182, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 9 + 1 + 0 + 1 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104995182.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104995182, enumerated as an "organization" on November 06, 2006.

The provider is located at 2213 SOUTHWIND DR CHARLOTTE, NC 28216 and the phone number is (704) 399-6320.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.