Provider Demographics
NPI:1891526604
Name:THOMAS HOME INC
Entity type:Organization
Organization Name:THOMAS HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLARI PADERNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-580-1914
Mailing Address - Street 1:3302 AEGEAN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-4551
Mailing Address - Country:US
Mailing Address - Phone:650-580-1914
Mailing Address - Fax:888-959-3653
Practice Address - Street 1:2032 KEHOE AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1012
Practice Address - Country:US
Practice Address - Phone:650-513-1907
Practice Address - Fax:650-513-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities