Provider Demographics
NPI:1912548793
Name:THRIVE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:THRIVE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-202-0339
Mailing Address - Street 1:5515 51ST ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8357
Mailing Address - Country:US
Mailing Address - Phone:507-202-0339
Mailing Address - Fax:
Practice Address - Street 1:5515 51ST ST NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8357
Practice Address - Country:US
Practice Address - Phone:507-202-0339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health