OrganizationActive
Second Chance LLC
NPI 1013848209 · Community Health Worker · Wimauma, FL
Provider details
- NPI number
- 1013848209
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- William Jackson, Owner(727) 265-0224
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5494 Logan Cave Ave
Wimauma, FL 33598-2440
Phone: (727) 265-0224
Street-level locationGet directions
Mailing address
Po Box 35225
St Petersburg, FL 33705-0504
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.