Provider Demographics
NPI:1295616282
Name:NURTURE AND THRIVE GROUP HOME LLC
Entity type:Organization
Organization Name:NURTURE AND THRIVE GROUP HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RISPRESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:380-232-0214
Mailing Address - Street 1:8400 PAYSON DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7924
Mailing Address - Country:US
Mailing Address - Phone:380-232-0214
Mailing Address - Fax:
Practice Address - Street 1:702 S OHIO AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2738
Practice Address - Country:US
Practice Address - Phone:380-232-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children