Provider Demographics
NPI:1295307023
Name:THOMAS, MONICA L (CNA HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CNA HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8621 GODDARD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1645
Mailing Address - Country:US
Mailing Address - Phone:816-606-6572
Mailing Address - Fax:
Practice Address - Street 1:8621 GODDARD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1645
Practice Address - Country:US
Practice Address - Phone:816-606-6572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based