Provider Demographics
NPI:1245033943
Name:THRIVEWELL HOME HEALTH LLC
Entity type:Organization
Organization Name:THRIVEWELL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FARANGIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUSAMIEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-807-2769
Mailing Address - Street 1:7901 PARKWOOD PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-5385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7901 PARKWOOD PLAZA DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-5385
Practice Address - Country:US
Practice Address - Phone:817-807-2769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health