Provider Demographics
NPI:1578448437
Name:HOME SUITE HOME PLUS LLC
Entity type:Organization
Organization Name:HOME SUITE HOME PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:THUY
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-215-0060
Mailing Address - Street 1:124 N DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-1441
Mailing Address - Country:US
Mailing Address - Phone:985-215-0060
Mailing Address - Fax:316-364-4235
Practice Address - Street 1:124 N DERBY AVE
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-1441
Practice Address - Country:US
Practice Address - Phone:985-215-0060
Practice Address - Fax:316-364-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-09
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility