Provider Demographics
NPI:1922582972
Name:THRIVE HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:THRIVE HOME HEALTH AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTO
Authorized Official - Middle Name:TADEO
Authorized Official - Last Name:AZURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-527-5797
Mailing Address - Street 1:2865 MENDOZA DR APT A
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4267
Mailing Address - Country:US
Mailing Address - Phone:323-527-5797
Mailing Address - Fax:
Practice Address - Street 1:9060 WALKER ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3160
Practice Address - Country:US
Practice Address - Phone:310-227-3214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health