Second Home LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SECOND HOME LLC

Practice address

390 Printers Pkwy
Colorado Springs, CO 80910-3190

Phone

(719) 375-8121

NPI assigned

Oct 15, 2019

Organization subpart

Yes

Parent organization

SECOND HOME LLCAs reported in NPPES

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

Authorized official

Name

Gurgen Krylov

Title

Owner

Phone

(720) 448-7406

Specialties & licenses 1

Addresses

Tax ID family

Second Home LLC2 organizations share this tax ID, including this one

Part of

Second Home LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Second Home LLC

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1780158691
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Second Home LLC

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1780158691
  NPPES parent name

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1679115281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-375-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-375-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND HOME LLC",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "KRYLOV",
        "authorized_official_first_name": "GURGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-448-7406"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Sebastian
• Mary Baird Sebes, NP
• Caroline M Sebley, D.O.
• Jacob Leon-Jiro Sechrest, DNP
• Rayah Seckler
• Second Home LLC
• Grace Secora
• Secure Self Counseling LLC
• Security Chiropractic, P.C.
• Security Dental Partners

• Non-emergency Medical Transport (VAN) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.