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Second Chance Habilitation Services LLC

Community/Behavioral Health Agency in Greensboro, NC · enumerated 2020 · authorized official Carlton Bullock, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770107609

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Registry record

Entity type Organization (Type 2)
Legal business name Second Chance Habilitation Services LLC
Practice address 2206 Emerywood Rd, Greensboro, NC, 27403
Phone (336) 763-9718
Enumeration date Jun 6, 2020
Last updated in NPPES Jun 6, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Carlton Bullock
Title Ceo
Phone (252) 767-7624

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Second Chance Habilitation Services LLC?
NPPES lists Carlton Bullock (Ceo) as the authorized official for this organization.
What is the NPI number for Second Chance Habilitation Services LLC?
The NPI for Second Chance Habilitation Services LLC is 1770107609, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-06.