# A SECOND CHANCE AT LIFE HOME CARE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427566215
- **Authorized official:** JENNIFER ROBERTSON (OWNER)
- **Authorized official phone:** (616) 389-7800

## Contact information

- **Practice address:** 3212 EASTERN AVE SE STE D, GRAND RAPIDS, MI 49508-2403
- **Practice address phone:** (616) 482-7703
- **Mailing address:** 1644 GIDDINGS AVE SE, GRAND RAPIDS, MI 49507-2225
- **Mailing address phone:** (616) 389-7802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 01/16/2018