SECOND CHANCE OF NORTHWEST FLORIDA
NPI 1114309333
Day Training, Developmentally Disabled Services in Panama City, FL

Active since June 24, 2015
819 E 11TH ST, PANAMA CITY, FL 32401(850) 769-7779(850) 215-7718 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Second Chance Of Northwest Florida NPPES

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

SECOND CHANCE OF NORTHWEST FLORIDA (NPI 1114309333) is a healthcare organization registered as a day training, developmentally disabled services in Panama City, Florida and active in the NPI registry since June 2015. The organization lists Jon Cupp, Director, as its authorized official.

NPPES Registry Identity

NPI1114309333
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSECOND CHANCE OF NORTHWEST FLORIDA
Location Address819 E 11TH STPanama City, FL 32401-3459
Mailing Address819 E 11th StPanama City, FL 32401-3459 · (850) 769-7779 · Fax (850) 215-7718
Fax(850) 215-7718
Organization SubpartNo
Authorized OfficialJon CuppDirector · (850) 769-7779
Enumeration DateJune 24, 2015
NPI 1114309333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
819 E 11TH ST, Panama City, FL 32401

Other Identifiers 1

MedicaidPENDINGFL

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 Chance Of Northwest Florida's NPI number?

The NPI number for Second Chance Of Northwest Florida is 1114309333. It was assigned to this organization in the NPPES registry on June 24, 2015.

Where is Second Chance Of Northwest Florida located?

Second Chance Of Northwest Florida is located at 819 E 11th St, Panama City, FL 32401. The listed phone number is (850) 769-7779.

What is Second Chance Of Northwest Florida's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Second Chance Of Northwest Florida was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.