Provider Demographics
NPI:1831654037
Name:STRIVE, INC
Entity Type:Organization
Organization Name:STRIVE, INC
Other - Org Name:BLESSED ASSURANCE SUPPORTIVE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-394-5818
Mailing Address - Street 1:6258 SPARLING HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1438
Mailing Address - Country:US
Mailing Address - Phone:407-394-5818
Mailing Address - Fax:
Practice Address - Street 1:6258 SPARLING HILLS CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-1438
Practice Address - Country:US
Practice Address - Phone:407-394-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017861600Medicaid