Provider Demographics
NPI:1598169864
Name:THRIVE HOME HEALTH INC.
Entity Type:Organization
Organization Name:THRIVE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SIRANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:TASHCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-853-7285
Mailing Address - Street 1:10523 BURBANK BLVD
Mailing Address - Street 2:SUITE #202
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2233
Mailing Address - Country:US
Mailing Address - Phone:818-853-7285
Mailing Address - Fax:818-853-7286
Practice Address - Street 1:10523 BURBANK BLVD
Practice Address - Street 2:SUITE #202
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2233
Practice Address - Country:US
Practice Address - Phone:818-853-7285
Practice Address - Fax:818-853-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0002751795-0001-8251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health