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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Respite Care, Intellectual and/or Developmental Disabilities | 385HR2060X |
| Respite Care Camp | 385HR2050X | |
| Respite Care, Physical Disabilities, Child | 385HR2065X |
* Indicates primary specialty
| NPI Number | 1912352071 |
| Legal business name LBN |
MY SECOND HOME |
| Authorized official | KRISTIN SMOCK - (DIRECTOR OF OPERATIONS) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/26/2016 |
| Last updated | 04/26/2016 - About 10 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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