Second Home Adult Daycare & Transportation

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1563972 Issued in OH

Legal business name

SECOND HOME ADULT DAYCARE & TRANSPORTATION

Practice address

2556 Morse Rd.
Columbus, OH 43231

Phone

(614) 329-8486

Fax

(614) 414-0666

NPI assigned

Apr 7, 2009

Last updated

May 1, 2013By 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

Ubah A Ali

Title

Administrator

Phone

(614) 414-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1720221641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-329-8486",
            "fax_number": "614-414-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 MORSE RD.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-329-8486",
            "fax_number": "614-414-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME ADULT DAYCARE & TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "UBAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-414-0077"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "1563972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgil Secasanu, MD
• Zayria Secession
• Amie Secka
• Second Chance Therapy LLC
• Second Chance Therapy LLC
• Second Home Health Services LLC
• Austin Jacob Secor
• Jenna Kay Secor
• Julia Secrist
• Rachel A Secttor, LPCC-S, NCC

• Adult Care Home Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.