Provider Demographics
NPI:1780454892
Name:THRIVE AT HOME OT
Entity type:Organization
Organization Name:THRIVE AT HOME OT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAILIN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:OSTER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:617-699-7446
Mailing Address - Street 1:41 LANSDOWNE ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1218
Mailing Address - Country:US
Mailing Address - Phone:617-699-7446
Mailing Address - Fax:
Practice Address - Street 1:41 LANSDOWNE ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1218
Practice Address - Country:US
Practice Address - Phone:617-699-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care