Provider Demographics
NPI:1821492109
Name:2ND CHANCE HEALTHCARE, LLC
Entity Type:Organization
Organization Name:2ND CHANCE HEALTHCARE, LLC
Other - Org Name:ALWAYS BEST CARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:I
Authorized Official - Last Name:BALABAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-914-5055
Mailing Address - Street 1:1657 THE FAIRWAY
Mailing Address - Street 2:#130
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1423
Mailing Address - Country:US
Mailing Address - Phone:215-914-5055
Mailing Address - Fax:877-600-0769
Practice Address - Street 1:1657 THE FAIRWAY
Practice Address - Street 2:#130
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1423
Practice Address - Country:US
Practice Address - Phone:215-914-5055
Practice Address - Fax:877-600-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26473601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health