HEART TRANSFORMATION
NPI 1487002317
Community Based Residential Treatment Facility, Mental Illness in Kissimmee, FL

Q: What is Second Chance Phoenix Ministry, Inc's NPI number?

The NPI number for Second Chance Phoenix Ministry, Inc is 1487002317. It was assigned to this organization in the NPPES registry on June 1, 2016. The provider is doing business as Heart Transformation.

Q: What is Second Chance Phoenix Ministry, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since June 01, 2016

3218 EAGLE WATCH DR, KISSIMMEE, FL 34746(407) 901-4000(407) 930-4830 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heart Transformation NPPES

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

HEART TRANSFORMATION (NPI 1487002317) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kissimmee, Florida and active in the NPI registry since June 2016. The organization lists Vickki-ann S. Samuel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487002317

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameSECOND CHANCE PHOENIX MINISTRY, INC

Location Address3218 EAGLE WATCH DRKissimmee, FL 34746-3138

Mailing Address3218 Eagle Watch DrKissimmee, FL 34746-3138 · (407) 901-4000 · Fax (407) 930-4830

Phone(407) 901-4000

Fax(407) 930-4830

Organization SubpartNo

Authorized OfficialVickki-ann S. SamuelMedical Director · (407) 901-4000

Enumeration DateJune 1, 2016

Last NPPES UpdateJune 2, 2016

✔ NPI 1487002317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in FL · CARF ACCREDITED

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3218 EAGLE WATCH DR, Kissimmee, FL 34746

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Other Names 1

Doing Business AsHeart Transformation

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 Phoenix Ministry, Inc's NPI number?

The NPI number for Second Chance Phoenix Ministry, Inc is 1487002317. It was assigned to this organization in the NPPES registry on June 1, 2016. The provider is doing business as Heart Transformation.

Where is Second Chance Phoenix Ministry, Inc located?

Second Chance Phoenix Ministry, Inc is located at 3218 Eagle Watch Dr, Kissimmee, FL 34746. The listed phone number is (407) 901-4000.

What is Second Chance Phoenix Ministry, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Second Chance Phoenix Ministry, Inc was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.