NPIMap

Organization Active NPI

2ND Home Skilled Care Services LLC

  • Custodial Care Facility
  • Aurora, CO
National Provider Identifier
1841079324
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
2ND HOME SKILLED CARE SERVICES LLC
Practice address
3131 S Vaughn Way Ste 600
Aurora, CO 80014-3508
Phone
(303) 999-7763
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

3131 S Vaughn Way Ste 600
Aurora, CO 80014-3508

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
2ND Home Skilled Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1841079324",
    "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": "3131 S VAUGHN WAY STE 600",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143508",
            "telephone_number": "303-999-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND HOME SKILLED CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HANEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-999-7763"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2023; 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.