Mycellia Cole-Thurow
Individual provider Active NPI In Home Supportive Care Agency · Boise, ID
NPI 1114747250 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1114747250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 6006 W Rowan St
Boise, ID 83714-5138 - Phone
- (208) 590-1278
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
6006 W Rowan St
Boise, ID 83714-5138
Mailing address
6006 W Rowan St
Boise, ID 83714-5138
Other providers in Boise, ID
- Stuart Coldsnow
- Cole Dental
- Cole Diagnostics, Inc
- Cole Family Eye Center, PA
- Michelle Denise Cole-Riccardi
- Jerry Kevin Cole
- John Robert Cole
- Karen Lee Cole
- Patrick Cole
- Rory A Cole
All providers in Boise, ID · In Home Supportive Care Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.