Provider Demographics
NPI:1255204533
Name:SECONDE CHANCE HOME HEALTH
Entity type:Organization
Organization Name:SECONDE CHANCE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AURELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEUKACK SITCHEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-435-0967
Mailing Address - Street 1:260 NORTHLAND BLVD STE 114D
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3726
Mailing Address - Country:US
Mailing Address - Phone:513-435-0967
Mailing Address - Fax:
Practice Address - Street 1:260 NORTHLAND BLVD STE 114D
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3726
Practice Address - Country:US
Practice Address - Phone:513-435-0967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty