OrganizationActive
Second Home LLC
NPI 1780158691 · Adult Day Care Clinic/Center · Colorado Springs, CO
Provider details
- NPI number
- 1780158691
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gurgen Krylov, Member(720) 448-7406
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
390 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone: (719) 375-8121
Approximate (ZIP-level) locationGet directions
Mailing address
390 Printers Pkwy
Colorado Springs, CO 80910-3190
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.