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SECOND CHANCE HABILITATION SERVICES LLC
NPI 1770107609
Community/Behavioral Health in Greensboro, NC

Active since June 06, 2020
2206 EMERYWOOD RD, GREENSBORO, NC 27403(336) 763-9718 Get Directions Write a Review

NPPES record last updated: June 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Second Chance Habilitation Services Llc NPPES

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

SECOND CHANCE HABILITATION SERVICES LLC (NPI 1770107609) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since June 2020. The organization lists Carlton Bullock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770107609
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSECOND CHANCE HABILITATION SERVICES LLC
Location Address2206 EMERYWOOD RDGreensboro, NC 27403-3765
Mailing Address2206 Emerywood RdGreensboro, NC 27403-3765 · (336) 763-9718
Phone(336) 763-9718
Organization SubpartNo
Authorized OfficialCarlton BullockCeo · (252) 767-7624
Enumeration DateJune 6, 2020
NPPES CertifiedJune 6, 2020
✔ NPI 1770107609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2206 EMERYWOOD RD, Greensboro, NC 27403
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Other Providers at the Same Location NPPES 2

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

LIZZY'S FAMILY HOME CARE & SERVICES, INC
Custodial Care Facility (Adult Care Home)
2206 EMERYWOOD RD
GREENSBORO, NC 27403
Guilford County (336) 509-7693
MS. LINDA C. GLASGOW CEO
Psychiatric Residential Treatment Facility
2206 EMERYWOOD RD
GREENSBORO, NC 27403
Guilford County (336) 297-5025

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 Habilitation Services LLC's NPI number?

The NPI number for Second Chance Habilitation Services LLC is 1770107609. It was assigned to this organization in the NPPES registry on June 6, 2020.

Where is Second Chance Habilitation Services LLC located?

Second Chance Habilitation Services LLC is located at 2206 Emerywood Rd, Greensboro, NC 27403. The listed phone number is (336) 763-9718.

What is Second Chance Habilitation Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Second Chance Habilitation Services LLC was last updated on June 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.