Provider Demographics
NPI:1104709955
Name:THRIVEWELL HOMECARE LLC
Entity type:Organization
Organization Name:THRIVEWELL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PYAE SONE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-382-2114
Mailing Address - Street 1:3869 TILDEN AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3965
Mailing Address - Country:US
Mailing Address - Phone:424-382-2114
Mailing Address - Fax:
Practice Address - Street 1:3869 TILDEN AVE APT 19
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3965
Practice Address - Country:US
Practice Address - Phone:424-382-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care