SECOND GENESIS, INC
NPI 1316115454
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Upper Marlboro, MD

Active since February 12, 2008
4620 MELWOOD RD, UPPER MARLBORO, MD 20772(301) 563-1545(301) 563-1546 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Second Genesis, Inc NPPES

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

SECOND GENESIS, INC (NPI 1316115454) is a healthcare organization registered as a substance abuse treatment, children in Upper Marlboro, 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

NPI1316115454
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameSECOND GENESIS, INC
Location Address4620 MELWOOD RDUpper Marlboro, MD 20772-9507
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 12, 2008
NPI 1316115454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License Licensed in MD · 903298
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
4620 MELWOOD RD, Upper Marlboro, MD 20772

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 1316115454. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Second Genesis, Inc located?

Second Genesis, Inc is located at 4620 Melwood Rd, Upper Marlboro, MD 20772. The listed phone number is (301) 563-1545.

What is Second Genesis, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Second Genesis, Inc was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.