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Active NPI 1013848209 Organization (Entity Type 2)

Second Chance Llc

Community Health Worker • Wimauma, FL

About Second Chance Llc NPI 1013848209 Summary

Second Chance Llc is a verified healthcare organization specializing in Community Health Worker operating in Wimauma, FL. Located at 5494 LOGAN CAVE AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1013848209.

Administrative operations and authorized compliance are overseen by William Jackson (Owner).

Facility Location & Contact Primary Location

Facility Address

5494 Logan Cave Ave

Wimauma, FL 335982440

Telephone 7272650224

Authorized Official Information

Authorized Contact Name

William Jackson

Title / Role

Owner

Official Telephone

7272650224

Facility Classifications & Specialties

Community Health Worker Primary Taxonomy

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 26, 2026

NPI status registered as active in NPPES database

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Updated Practice Location May 26, 2026

Registered at 5494 LOGAN CAVE AVE, WIMAUMA, FL 335982440 (Tel: 7272650224)

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Updated Business Mailing Address May 26, 2026

Registered at PO BOX 35225, ST PETERSBURG, FL 337050504 (Tel: 7272650224)

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Organization / Clinic Name Updated May 26, 2026

Operating as SECOND CHANCE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2026

Community Health Worker

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Initial NPI Registration & Enumeration May 26, 2026

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1013848209
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 26, 2026
Last Update: May 26, 2026

Mailing Address

Po Box 35225

St Petersburg, FL 337050504

Phone: 7272650224

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.