Provider Demographics
NPI:1871348151
Name:THRIVECARE HOME SERVICES
Entity type:Organization
Organization Name:THRIVECARE HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:ANSAH
Authorized Official - Last Name:LARBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:170-338-6658
Mailing Address - Street 1:26 HOT SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7752
Mailing Address - Country:US
Mailing Address - Phone:703-386-6585
Mailing Address - Fax:
Practice Address - Street 1:26 HOT SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7752
Practice Address - Country:US
Practice Address - Phone:703-386-6585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health