Second Home LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SECOND HOME LLC

Practice address

390 Printers Pkwy
Colorado Springs, CO 80910-3190

Phone

(719) 375-8121

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Gurgen Krylov

Title

Member

Phone

(720) 448-7406

Specialties & licenses 1

Addresses

Tax ID family

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

Other organizations with this tax ID 1

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

• Second Home LLC

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
  • NPI 1679115281
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Second Home LLC

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
  • NPI 1679115281
  NPPES parent name

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1780158691",
    "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": "NO",
        "enumeration_date": "2019-01-14",
        "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": "MEMBER",
        "authorized_official_telephone_number": "720-448-7406"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Security Fire Protection District

• Adult Day Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adult Day Care Clinic/Center 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.