Provider Demographics
NPI:1376870907
Name:SECOND CHANCE HOME HEALTHCARE
Entity Type:Organization
Organization Name:SECOND CHANCE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE HOLDER
Authorized Official - Phone:832-881-7567
Mailing Address - Street 1:7520 COFFEE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-3552
Mailing Address - Country:US
Mailing Address - Phone:832-881-7567
Mailing Address - Fax:713-731-8354
Practice Address - Street 1:7520 COFFEE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-3552
Practice Address - Country:US
Practice Address - Phone:832-881-7567
Practice Address - Fax:713-731-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health