SECOND CHANCE HOMES OF FULTON LLC – NPI #1366561342
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

SECOND CHANCE HOMES OF FULTON LLC is a community based residential treatment facility located in FULTON, MO. NPPES has assigned the NPI number 1366561342 to SECOND CHANCE HOMES OF FULTON LLC on March 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SECOND CHANCE HOMES. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 18 years ago on Jun 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SECOND CHANCE HOMES OF FULTON LLC below.

NPI Profile for
SECOND CHANCE HOMES OF FULTON LLC

NPI Number
1366561342
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SECOND CHANCE HOMES OF FULTON LLC
Former Legal Business Name: SECOND CHANCE HOMES
Primary location
298 CLAYMINE DRIVE
FULTON, MO 65251
Phone: (573) 353-1137 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RACHAEL ROWDEN
OWNER DIRECTOR
Phone: (573) 353-1137
Updated
Identifiers

Identifiers for SECOND CHANCE HOMES OF FULTON LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO856216809
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.