Provider Demographics
NPI:1265011910
Name:THRIVE HOMES NEW JERSEY INC.
Entity Type:Organization
Organization Name:THRIVE HOMES NEW JERSEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-422-7945
Mailing Address - Street 1:101 EISENHOWER PARKWAY SUITE 300
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068
Mailing Address - Country:US
Mailing Address - Phone:888-220-5309
Mailing Address - Fax:
Practice Address - Street 1:101 EISENHOWER PARKWAY SUITE 300
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068
Practice Address - Country:US
Practice Address - Phone:888-220-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THRIVE HOMES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities