Provider Demographics
NPI:1518629278
Name:THRIVE HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:THRIVE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:OGECHI
Authorized Official - Last Name:LADOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-484-9722
Mailing Address - Street 1:2677 ZOE AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6995
Mailing Address - Country:US
Mailing Address - Phone:323-484-9722
Mailing Address - Fax:323-484-9822
Practice Address - Street 1:2677 ZOE AVE STE 118
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6995
Practice Address - Country:US
Practice Address - Phone:323-484-9722
Practice Address - Fax:323-484-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health