Provider Demographics
NPI:1457037798
Name:COMMUNITY THRIVES LLC
Entity Type:Organization
Organization Name:COMMUNITY THRIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUTORA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:AMBRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-217-7287
Mailing Address - Street 1:1352 BATTLEFORD DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8666
Mailing Address - Country:US
Mailing Address - Phone:757-217-7287
Mailing Address - Fax:
Practice Address - Street 1:1352 BATTLEFORD DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-8666
Practice Address - Country:US
Practice Address - Phone:757-217-7287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services