Your Second Home LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

YOUR SECOND HOME LLC

Doing business as

Front Range Assisted Living

Practice address

3880 Dover St
Wheat Ridge, CO 80033-4317

Phone

(303) 424-1266

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By 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

Earl Vanze Co

Title

Manager

Phone

(518) 882-8383

Specialties & licenses 3

Addresses

Other names 1

• Front Range Assisted Living Doing business as

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1265020325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 DOVER ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334317",
            "telephone_number": "303-424-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 DOVER ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334317",
            "telephone_number": "303-424-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SECOND HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "VANZE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-882-8383"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Range Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jadie Yeatts
• Shunsuke Yokota, C.M.T.
• Marlee Yost-Wolff
• You Are the Reason LLC
• Danee Suzanne Young, M.D.
• Ada Yu, DO
• Allison Zangle
• Steven John Zapien, DDS
• Maria Zarlengo, PHD, LP, LPC
• Trevor Zarnowski

• Assisted Living Facility (Mental Illness) in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.