Provider Demographics
NPI:1952909798
Name:A 2ND FAMILY LLC
Entity Type:Organization
Organization Name:A 2ND FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:816-729-9578
Mailing Address - Street 1:3507 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-2119
Mailing Address - Country:US
Mailing Address - Phone:816-215-1808
Mailing Address - Fax:816-599-7822
Practice Address - Street 1:3507 SOUTHERN HILLS DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-2119
Practice Address - Country:US
Practice Address - Phone:816-215-1808
Practice Address - Fax:816-599-7822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty