OrganizationActive
Your Second Home LLC
NPI 1265020325 · Assisted Living Facility (Mental Illness) · Wheat Ridge, CO
Provider details
- NPI number
- 1265020325
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Earl Co, Manager(518) 882-8383
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
3880 Dover St
Wheat Ridge, CO 80033-4317
Phone: (303) 424-1266
Approximate (ZIP-level) locationGet directions
Mailing address
3880 Dover St
Wheat Ridge, CO 80033-4317
Other names (DBA / former)
- Doing business as
- Front Range Assisted Living
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2021-01-05
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.