Provider Demographics
NPI:1932650629
Name:THRIVE SERVICES INC.
Entity Type:Organization
Organization Name:THRIVE SERVICES INC.
Other - Org Name:THRIVE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:DERLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-410-8818
Mailing Address - Street 1:14895 E 14TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2927
Mailing Address - Country:US
Mailing Address - Phone:800-410-8818
Mailing Address - Fax:800-684-7280
Practice Address - Street 1:14895 E 14TH ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2927
Practice Address - Country:US
Practice Address - Phone:800-410-8818
Practice Address - Fax:800-684-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA253Z00000XOther253Z00000X - IN HOME SUPPORTIVE CARE