SECOND CHANCE OUTREACH LEARNING CENTER
NPI 1861024747
Public Health or Welfare in Jackson, MS
About Second Chance Outreach Learning Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SECOND CHANCE OUTREACH LEARNING CENTER (NPI 1861024747) is a healthcare organization registered as a public health or welfare in Jackson, Mississippi and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Devin Foster, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2257621
Second Chance Outreach Learning Center · Jackson, MSFrequently 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 Outreach Learning Center's NPI number?
The NPI number for Second Chance Outreach Learning Center is 1861024747. It was assigned to this organization in the NPPES registry on February 7, 2020.
Where is Second Chance Outreach Learning Center located?
Second Chance Outreach Learning Center is located at 4807 N State St Ste 407, Jackson, MS 39206. The listed phone number is (601) 842-4718.
What is Second Chance Outreach Learning Center's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Does Second Chance Outreach Learning Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2257621) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Second Chance Outreach Learning Center was last updated on February 7, 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.
# Second Chance Outreach Learning Center · NPI 1861024747
Public Health or Welfare organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since February 7, 2020.
## Identity
- **NPI:** 1861024747 (Entity type: Organization)
- **Enumerated:** February 7, 2020
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Devin Foster, CEO
## Practice location
- **Address:** 4807 N STATE ST STE 407, Jackson, MS 39206-4826
- **Phone:** (601) 842-4718
## Record status
- **NPPES last updated:** February 7, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861024747) · Data from the CMS NPPES public registry.