Second Chance Habilitation Services LLC
NPI 1770107609 · Community/Behavioral Health Agency · Greensboro, NC
Second Chance Habilitation Services LLC is a Community/Behavioral Health Agency organization in Greensboro, NC (NPI 1770107609).
Provider details
- NPI number
- 1770107609
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carlton Bullock, Ceo(252) 767-7624
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-06-06
- Last updated
- 2020-06-06
- Certified
- 2020-06-06
Frequently asked questions
- What is Second Chance Habilitation Services LLC's NPI number?
- Second Chance Habilitation Services LLC's National Provider Identifier (NPI) is 1770107609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Chance Habilitation Services LLC?
- Second Chance Habilitation Services LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Second Chance Habilitation Services LLC located?
- Second Chance Habilitation Services LLC's practice location on file with NPPES is 2206 Emerywood Rd, Greensboro, NC 27403-3765.
- What is Second Chance Habilitation Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Chance Habilitation Services LLC is (336) 763-9718.
- Who is the authorized official for Second Chance Habilitation Services LLC?
- The authorized official listed on Second Chance Habilitation Services LLC's NPPES record is Carlton Bullock, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Chance Habilitation Services LLC's NPI active?
- Yes — Second Chance Habilitation Services LLC's NPI (1770107609) is active in the NPPES registry as of the last update on 2020-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.