2ND Home Community - Abilene LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

2ND HOME COMMUNITY - ABILENE LLC

Practice address

1200 S Abilene Rd
Unit C
Aurora, CO 80012

Phone

(303) 999-7763

NPI assigned

Oct 25, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haneen M Omar

Title

Ceo

Phone

(303) 999-7763

Specialties & licenses 1

Addresses

Other names 1

• 2nd Home Community Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1053133769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY STE 600",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143508",
            "telephone_number": "303-999-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S ABILENE RD",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-999-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND HOME COMMUNITY - ABILENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HANEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-999-7763"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Home Community",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Day Care Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Adult Day Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.