NPIMap

Organization Active NPI

Second Gen Ventures Incorporated

Doing business as Georgetown Living Home Health & Companions

  • Home Health Agency
  • Georgetown, TX
National Provider Identifier
1912291683
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SECOND GEN VENTURES INCORPORATED
Doing business as
Georgetown Living Home Health & Companions
Practice address
1508 Leander Rd # 101
Georgetown, TX 78628-8800
Phone
(512) 843-0117
Fax
(512) 843-0127
NPI assigned
May 31, 2011
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Eric Corum
Title
Administrator
Phone
(512) 843-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1508 Leander Rd # 101
Georgetown, TX 78628-8800

Mailing address

2700 Shell Rd
Georgetown, TX 78628-9237
Phone (512) 843-0117

Other identifiers 1

IdentifierTypeStateIssuer
747887OtherTXMEDICARE PTAN

Other names 1

  • Georgetown Living Home Health & Companions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000239 TX Part A Provider - Home Health Agency 0749448488 Practice locations: Georgetown, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912291683. Details of each certification follow.

Home health agency certification: CCN 747887

Legal name
SECOND GEN VENTURES INCORPORATED
Doing business as
GEORGETOWN LIVING HOME HEALTH & COMPANIONS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 27, 2013
Last certification
Feb 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 27, 2011 in TX
Enrollment address
1508 Leander Rd
# 101
Georgetown, TX 78628-8800

Care Compare: Home health agency

Medicare Care Compare
Listed as
Georgetown Living Home Health & CompanionsCCN 747887 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 27, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1508 Leander Rd
#101
Georgetown, TX 78628
Phone (512) 843-0117

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Second Gen Ventures Incorporated Organization, Georgetown, TX Corporation 5% Or Greater Direct Ownership Interest Sep 15, 2011 100%
Char Hu Individual Contracted Managing Employee Nov 1, 2024
W-2 Managing Employee Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Eric Corum Individual Corporate Director Nov 1, 2024 100%
Ping Ping Hu Individual Contracted Managing Employee Nov 1, 2024
W-2 Managing Employee Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Yanchi Hu Individual 5% Or Greater Direct Ownership Interest Sep 15, 2011 100%
Corporate Officer Sep 15, 2011
Corporate Director Sep 15, 2011

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1912291683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHELL RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786289237",
            "telephone_number": "512-843-0117",
            "fax_number": "512-863-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 LEANDER RD # 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288800",
            "telephone_number": "512-843-0117",
            "fax_number": "512-843-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND GEN VENTURES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "CORUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-843-0117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "747887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Living Home Health & Companions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.