# HOME SUITE HOME PLUS LLC D.B.A. GOLDEN BOOMERS HOME PLUS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Boomers Home Plus Derby
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578448437
- **Authorized official:** THUY NGOC NGUYEN (OWNER/OPERATOR)
- **Authorized official phone:** (985) 215-0060

## Contact information

- **Practice address:** 124 N DERBY AVE, DERBY, KS 67037-1441
- **Practice address phone:** (985) 215-0060
- **Practice address fax:** (316) 364-4235
- **Mailing address:** 124 N DERBY AVE, DERBY, KS 67037-1441
- **Mailing address phone:** (985) 215-0060
- **Mailing address fax:** (316) 364-4235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2025
- **Last updated:** 11/25/2025