Second Home Seniors and Transport LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SECOND HOME SENIORS AND TRANSPORT LLC

Practice address

760 S Yearling Rd
Whitehall, OH 43213-3053

Phone

(614) 815-0366

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Mohamud Shire

Title

Human Resource

Phone

(614) 815-0366

Specialties & licenses 1

Addresses

Other names 1

• Second Home Seniors and Transport LLC Doing business as

Locations

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1184470171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S YEARLING RD",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432133053",
            "telephone_number": "614-815-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S YEARLING RD",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432133053",
            "telephone_number": "614-815-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME SENIORS AND TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "HUMAN RESOURCE",
        "authorized_official_telephone_number": "614-815-0366"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Home Seniors and Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Scott, LSW
• Michelle Lynn Scott, LPN
• Olivia Scott, SAC-IT
• Theresa Renee Scott, MS ALC
• Brooke Scottt, LPN
• Katelyn Seitz
• Mary Senesie
• Charese Sferra, RPH
• Shama Caregivers LLC
• Matthew Shepherd

• Developmentally Disabled Services Day Training Agency in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.