# 2ND HOME RESIDENTIAL AND SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740131457
- **Authorized official:** DEANDRA JOHNSON-EGESI RN (PROGRAM MANAGER)
- **Authorized official phone:** (832) 785-4089

## Contact information

- **Practice address:** 19126 MOSSY HEDGE LN, KATY, TX 77449-4133
- **Practice address phone:** (832) 408-0556
- **Practice address fax:** (281) 713-5445
- **Mailing address:** 19126 MOSSY HEDGE LN, KATY, TX 77449-4133
- **Mailing address phone:** (832) 408-0556
- **Mailing address fax:** (281) 713-5445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2026
- **Last updated:** 02/12/2026
