Second Chance Addiction Care LLC
NPI 1629835236 · Substance Abuse Rehabilitation Facility · Rockville, MD
Second Chance Addiction Care LLC is a Substance Abuse Rehabilitation Facility organization in Rockville, MD (NPI 1629835236).
Provider details
- NPI number
- 1629835236
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Second Chance Addiction Care LLC
- Organization subpart
- Yes
- Authorized official
- Jessie Costley, Credentialing Manager(443) 839-6928
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2024-02-29
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Frequently asked questions
- What is Second Chance Addiction Care LLC's NPI number?
- Second Chance Addiction Care LLC's National Provider Identifier (NPI) is 1629835236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Chance Addiction Care LLC?
- Second Chance Addiction Care LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Second Chance Addiction Care LLC located?
- Second Chance Addiction Care LLC's practice location on file with NPPES is 401 E Jefferson St Ste 203, Rockville, MD 20850-2617.
- What is Second Chance Addiction Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Chance Addiction Care LLC is (301) 983-5130.
- Who is the authorized official for Second Chance Addiction Care LLC?
- The authorized official listed on Second Chance Addiction Care LLC's NPPES record is Jessie Costley, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Chance Addiction Care LLC's NPI active?
- Yes — Second Chance Addiction Care LLC's NPI (1629835236) is active in the NPPES registry as of the last update on 2024-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.