Organization Active NPI

2ND Home Adult Community Center

  • Adult Day Care Clinic/Center
  • Aurora, CO
National Provider Identifier
1629686399
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
2ND HOME ADULT COMMUNITY CENTER
Practice address
2990 S Peoria St
Aurora, CO 80014-3152
Phone
(303) 999-7763
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Haneen Omar
Title
Director
Phone
(303) 999-7763

Specialties & licenses 1

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

Addresses

Primary practice location

2990 S Peoria St
Aurora, CO 80014-3152

Mailing address

2990 S Peoria St
Aurora, CO 80014-3152
Phone (303) 999-7763

Other names 1

  • 2nd Home Adult Community Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2990 S Peoria St
Aurora, CO 80014

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1629686399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143152",
            "telephone_number": "303-999-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143152",
            "telephone_number": "303-999-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND HOME ADULT COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HANEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-999-7763"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Home Adult Community Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.