My Second Home

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

1655048 Issued in CO

Legal business name

MY SECOND HOME

Doing business as

Megan's Place, LLC

Practice address

6175 W 38TH Ave
Wheat Ridge, CO 80033-5146

Phone

(303) 881-4988

Fax

(303) 237-1043

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By 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

Mrs. Kristin N Smock

Title

Director of Operations

Phone

(720) 427-1979

Specialties & licenses 3

Addresses

Other names 1

• Megan's Place, LLC Doing business as

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1912352071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335146",
            "telephone_number": "303-881-4988",
            "fax_number": "303-237-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335146",
            "telephone_number": "303-881-4988",
            "fax_number": "303-237-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SECOND HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SMOCK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-427-1979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "CO",
            "license": "1655048",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": "1655048",
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "CO",
            "license": "1655048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Megan's Place, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flynn H Murphy, L.P.C.
• Image Murphy
• Maureen Teresa Murphy, B.S.
• Mary Murray, LCSW
• Anthony E Musella, DDS
• Anne Myers
• Nancy C Myers
• Kara Ruth Naftz, MSW
• Shen F. Nagel, M.D.
• Andrew Nagy, ARNP

• Child Intellectual and/or Developmental Disabilities Respite Care in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.