ANOTHER CHANCE DETOX — NPI 1316782337 (Licensed & Credentialed Case Manager/Care Coordinator in CANTON, TX)

CMS-1500 Box 24J / 33a • NPI

1316782337

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

20320 STATE HIGHWAY 19, CANTON, TX, 75103-5742

✓ 9-Digit EDI 837 ZIP+4 (75103-5742)

Practice Phone & Referral Fax

(469) 512-5291

Fax: (833) 586-2467

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316782337 (ANOTHER CHANCE DETOX) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316782337` (NPI-2 Organization / Facility)
Provider / Legal Name	ANOTHER CHANCE DETOX
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	20320 STATE HIGHWAY 19, CANTON, TX, 75103-5742
Practice Telephone / Fax	Tel: (469) 512-5291 \| Fax: (833) 586-2467
Administrative Mailing Address	5954 BROADWAY BLVD # 105, GARLAND, TX, 75043-5822
Enumeration & Last Sync	Enumerated: 2024-07-01 \| CMS Record Updated: 2024-07-01
Authorized Official	CHANCE LUNA (MEMBER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20320 STATE HIGHWAY 19, CANTON, TX, 75103-5742

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANOTHER CHANCE DETOX)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ANOTHER CHANCE DETOX (NPI #1316782337)