Provider Demographics
NPI:1073912713
Name:NO PLACE LIKE HOME
Entity Type:Organization
Organization Name:NO PLACE LIKE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:THORESON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-346-7853
Mailing Address - Street 1:401 1/2 GRAND AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-4015
Mailing Address - Country:US
Mailing Address - Phone:712-346-7853
Mailing Address - Fax:
Practice Address - Street 1:401 1/2 GRAND AVE APT 21
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-4015
Practice Address - Country:US
Practice Address - Phone:712-346-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131859251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health