Provider Demographics
NPI:1376010496
Name:THRIVE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:THRIVE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMBERIKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-864-7572
Mailing Address - Street 1:1020 INWOOD TER
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1521
Mailing Address - Country:US
Mailing Address - Phone:718-864-7572
Mailing Address - Fax:
Practice Address - Street 1:4100 PARK AVE STE 7
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6182
Practice Address - Country:US
Practice Address - Phone:718-864-7572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health