Provider Demographics
NPI:1467145441
Name:THRIVE USA HOME CARE FL7 LLC
Entity Type:Organization
Organization Name:THRIVE USA HOME CARE FL7 LLC
Other - Org Name:THRIVE USA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-698-3565
Mailing Address - Street 1:6634 ROCKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6638
Mailing Address - Country:US
Mailing Address - Phone:301-882-4717
Mailing Address - Fax:240-552-5855
Practice Address - Street 1:1325 W KING ST UNIT A
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-8693
Practice Address - Country:US
Practice Address - Phone:516-698-3565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care