Thomas Home Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

THOMAS HOME INC

Practice address

2032 Kehoe Ave
San Mateo, CA 94403-1012

Phone

(650) 513-1907

Fax

(650) 513-1901

NPI assigned

Aug 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Melanie Mallari Paderna

Title

Owner

Phone

(650) 580-1914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G707

Legal name

THOMAS HOME INC.

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 4, 2014

Last certification

Oct 18, 2024

Beds

6

Ownership / control type

Other (specify)

Facility address

2032 Kehoe Avenue
San Mateo, CA 94403

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1891526604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 AEGEAN WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664551",
            "telephone_number": "650-580-1914",
            "fax_number": "888-959-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 KEHOE AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031012",
            "telephone_number": "650-513-1907",
            "fax_number": "650-513-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MALLARI PADERNA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-580-1914",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Thatcher
• The Betty Mills Company, Inc.
• Molly Thekan, RBT
• Ngwe Hnin Thet
• Laura Thill
• Thomas O. Stodgel, MD
• Abigail Thomas
• Angela Christina Thomas, REGISTERED COUNSELOR
• Mary Dianne Thomas, M.A.
• Sarah Thomas

• Intellectual Disabilities Intermediate Care Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.