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My Second Home
Child Physical Disabilities Respite Care in Wheat Ridge, Colorado
NPI 1912352071

My Second Home is a Child Physical Disabilities Respite Care based in Wheat Ridge, CO and is specialized in Respite Care, Physical Disabilities, Child. My Second Home practices in Wheat Ridge, CO. The NPI Number for My Second Home is 1912352071 and holds a License No. 1655048 (Colorado).

The current practice location address for My Second Home is 6175 W 38Th Ave, Wheat Ridge, CO and can be reached out via phone at 303-881-4988 and via fax at 303-237-1043. You can also correspond with My Second Home through the mailing address at 6175 W 38TH AVE, WHEAT RIDGE, CO - 80033-5146 (mailing address contact number: 303-881-4988).

Location: 6175 W 38Th Ave, Wheat Ridge, CO, 80033-5146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912352071
Provider Name
My Second Home
Credential
Provider Entity Type
Organization
Address
6175 W 38Th Ave, Wheat Ridge, CO, 80033-5146
Phone Number
303-881-4988
Fax Number
303-237-1043
Provider Enumeration Date
04/26/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6175 W 38Th Ave
City
Wheat Ridge
State
Colorado
Zip
80033-5146
Phone Number
303-881-4988
Fax Number
303-237-1043
person
Provider Business Mailing Address Details
Address
6175 W 38Th Ave
City
Wheat Ridge
State
Colorado
Zip
80033-5146
Phone Number
303-881-4988
Fax Number
303-237-1043
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care Camp
Taxonomy
385HR2050X
License No.
1655048 (Colorado)
Definition
A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
1655048 (Colorado)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
1655048 (Colorado)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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