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SECOND CHANCE GROUP HOME INC.
NPI 1245982677
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clermont, FL

Active since January 26, 2022
4548 POWDERHORN PLACE DR, CLERMONT, FL 34711(352) 396-1247(352) 394-2353 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Second Chance Group Home Inc. NPPES

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

SECOND CHANCE GROUP HOME INC. (NPI 1245982677) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Clermont, Florida and active in the NPI registry since January 2022. The organization lists Ricky Lamar Roberson, Owner, as its authorized official.

NPPES Registry Identity

NPI1245982677
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSECOND CHANCE GROUP HOME INC.
Location Address4548 POWDERHORN PLACE DRClermont, FL 34711-8940
Mailing Address4548 Powderhorn Place DrClermont, FL 34711-8940 · (352) 396-1247 · Fax (352) 394-2353
Phone(352) 396-1247
Fax(352) 394-2353
Organization SubpartNo
Authorized OfficialRicky Lamar RobersonOwner · (352) 396-1247
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1245982677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4548 POWDERHORN PLACE DR, Clermont, FL 34711
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Other Providers at the Same Location NPPES

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

FAITH GROUP HOME INC.
Home Health
4548 POWDERHORN PLACE DR
CLERMONT, FL 34711
Lake County (352) 396-1247

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 Group Home Inc.'s NPI number?

The NPI number for Second Chance Group Home Inc. is 1245982677. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Second Chance Group Home Inc. located?

Second Chance Group Home Inc. is located at 4548 Powderhorn Place Dr, Clermont, FL 34711. The listed phone number is (352) 396-1247.

What is Second Chance Group Home Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Second Chance Group Home Inc. was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.