Provider Demographics
NPI:1508681271
Name:GOOD MORNING HOMES CORP
Entity type:Organization
Organization Name:GOOD MORNING HOMES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:816-977-5341
Mailing Address - Street 1:4254 TROOST AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-1240
Mailing Address - Country:US
Mailing Address - Phone:816-405-0386
Mailing Address - Fax:510-319-8402
Practice Address - Street 1:4254 TROOST AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-1240
Practice Address - Country:US
Practice Address - Phone:816-405-0386
Practice Address - Fax:510-319-8402
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD MORNING HOMES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home