Provider Demographics
NPI:1275823379
Name:THRIVE GEAR LLC
Entity Type:Organization
Organization Name:THRIVE GEAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-233-1597
Mailing Address - Street 1:55 PEARL INDUSTRIAL AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-4407
Mailing Address - Country:US
Mailing Address - Phone:800-233-1597
Mailing Address - Fax:678-373-4437
Practice Address - Street 1:55 PEARL INDUSTRIAL AVE
Practice Address - Street 2:STE 100
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-4407
Practice Address - Country:US
Practice Address - Phone:800-233-1597
Practice Address - Fax:678-373-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies