Organization Active NPI

2ND Home Community Longmont LLC

  • Adult Day Care Clinic/Center
  • Longmont, CO
National Provider Identifier
1326929613
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
2ND HOME COMMUNITY LONGMONT LLC
Practice address
650 S Airport Rd
Longmont, CO 80503-6421
Phone
(303) 999-7763
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Haneen M Omar, MRS
Title
Ceo
Phone
(303) 999-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

650 S Airport Rd
Longmont, CO 80503-6421

Mailing address

3131 S Vaughn Way Ste 600
Aurora, CO 80014-3508
Phone (303) 999-7763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326929613",
    "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": "650 S AIRPORT RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036421",
            "telephone_number": "303-999-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND HOME COMMUNITY LONGMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "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",
        "authorized_official_credential": "MRS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.