Organization
2ND HOME COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANEEN OMAR (CEO)
(303) 999-7763
Entity
Organization
Contact information
Practice address
7415 E 41ST AVE, DENVER, CO 80216-4707
(303) 999-7763
Mailing address
3131 S VAUGHN WAY STE 600, DENVER, CO 80014-3508
(303) 999-7763
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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