2ND HOME ADULT COMMUNITY CENTER (NPI# 1629686399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629686399 |
| Entity Type | Organization |
| Organization Name | 2ND HOME ADULT COMMUNITY CENTER |
| Practice Address |
2990 S Peoria St Aurora CO 80014-3152 |
| Practice Telephone | 3039997763 |
| Mailing Telephone | 3039997763 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | HANEEN OMAR (DIRECTOR) |
| Authorized Official Telephone | 3039997763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 2nd Home Adult Community Center | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | 2nd Home Adult Community Center, LLC | 2990 S. Peoria Street, Aurora, CO 80014 |
| Street Address |
2990 S PEORIA ST |
| City | AURORA |
| State | CO |
| Zip Code | 80014-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699397901 | Mantra Adult Day Care | Clinic/Center | 10180 E Colfax Ave Ste 205, Aurora, CO 80010-5040 | 2020-05-08 |
| 1760040174 | Compassion Adult Daycare | Clinic/Center | 1740 S Buckley Rd Unit 11, Aurora, CO 80017-5600 | 2019-05-31 |
| 1629534607 | Hans Adult Day Care LLC | Clinic/Center | 911 S Havana St Ste A, Aurora, CO 80012-3034 | 2019-02-14 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1831604016 | Life Adult Day Care LLC | Clinic/Center | 390 S Potomac Way Ste 116, Aurora, CO 80012-1375 | 2017-12-09 |
| 1245745637 | Aurora Adult Day Care Inc | Clinic/Center | 1330 S Potomac St Ste 118, Aurora, CO 80012-4527 | 2017-12-06 |
| 1619494861 | 1st Choice Life Skills Academy, LLC | Clinic/Center | 10770 E Iliff Ave, Aurora, CO 80014-4707 | 2017-08-28 |
| 1639690019 | Autumn Adult Day Care LLC | Clinic/Center | 10640 E Bethany Dr Ste 102, Aurora, CO 80014-2640 | 2017-07-06 |
| 1891243689 | Aza Adult Day Care | Clinic/Center | 10691 E Bethany Dr Ste 200, Aurora, CO 80014-2623 | 2016-09-21 |
| 1801342035 | Best Friends Adult Services&transportation,llc | Clinic/Center | 2600 S. Parker Rd., Aurora, CO 80014 | 2016-08-28 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.