CMS-1500 Box 24J / 33a • NPI
1821696964
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332BD1200X
Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies
Box 32 Service Location & ZIP+4
10770 E ILIFF AVE, AURORA, CO, 80014-4707
✓ 9-Digit EDI 837 ZIP+4 (80014-4707)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821696964 (2ND HOME MEDICAL SUPPLIES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821696964 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 2ND HOME MEDICAL SUPPLIES LLC |
| Plain-English Specialty | Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies NUCC Code: 332BD1200X (Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 10770 E ILIFF AVE, AURORA, CO, 80014-4707 |
| Practice Telephone / Fax | Tel: (303) 325-6994 | Fax: (720) 604-0000 |
| Administrative Mailing Address | 3138 S PARKER RD, AURORA, CO, 80014-3110 |
| Enumeration & Last Sync | Enumerated: 2020-10-12 | CMS Record Updated: 2024-12-17 |
| Authorized Official | HANEEN OMAR (Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (332BD1200X)
What Does Taxonomy Code 332BD1200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332BD1200X translates to:
"Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (2ND HOME MEDICAL SUPPLIES LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
332BD1200X — Durable Medical Equipment & Medical Supplies, Dialysis Equipment & SuppliesPlain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | State: N/A | License: Verified | Primary: Yes (Primary) |
332BX2000X — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | State: N/A | License: Verified | Primary: Secondary |
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