Provider Demographics
NPI:1487791984
Name:THE NESTING PLACE,INC.
Entity type:Organization
Organization Name:THE NESTING PLACE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-353-3358
Mailing Address - Street 1:6528 RAYTOWN RD
Mailing Address - Street 2:STE. I
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5057
Mailing Address - Country:US
Mailing Address - Phone:816-353-3358
Mailing Address - Fax:816-353-4681
Practice Address - Street 1:6528 RAYTOWN RD
Practice Address - Street 2:STE. I
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5057
Practice Address - Country:US
Practice Address - Phone:816-353-3358
Practice Address - Fax:816-353-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E0000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health