Provider Demographics
NPI:1346013679
Name:THRIVE GROUP HOMES
Entity Type:Organization
Organization Name:THRIVE GROUP HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIHOLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-209-3970
Mailing Address - Street 1:713 NW 8TH CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3509
Mailing Address - Country:US
Mailing Address - Phone:269-209-3970
Mailing Address - Fax:
Practice Address - Street 1:713 NW 8TH CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3509
Practice Address - Country:US
Practice Address - Phone:269-209-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services