Organization · NPI-2

2nd Home Medical Center PLLC

Internal Medicine · Denver, CO

NPI number1104790294

StatusActive

Last updated in NPPESFeb 5, 2026

Details

NPI: 1104790294
Entity type: Organization (NPI-2)
Legal business name: 2nd Home Medical Center PLLC
Organization subpart: No
Enumeration date: Oct 1, 2025
Certification date: Feb 5, 2026
Last updated: Feb 5, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Practice location

6880 E Evans Ave
Denver, CO 80224-2330

Phone 303-999-7763 · Fax 720-367-5443

Mailing address

3131 S Vaughn Way Ste 600
Aurora, CO 80014-3508

Phone 303-999-7763 · Fax 720-367-5443

Authorized official

Sami Mitri
Physician
8102407859

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