Organization Active NPI

Thrive Behavioral Healthcare LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Elyria, OH
National Provider Identifier
1033827431
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
THRIVE BEHAVIORAL HEALTHCARE LLC
Practice address
965 Rosewood Dr
Elyria, OH 44035-1821
Phone
(440) 949-9359
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Kiser
Title
Owner
Phone
(440) 949-9359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

965 Rosewood Dr
Elyria, OH 44035-1821

Mailing address

965 Rosewood Dr
Elyria, OH 44035-1821

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gmail

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1033827431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 ROSEWOOD DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 ROSEWOOD DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351821",
            "telephone_number": "440-949-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-949-9359"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "address_1": "965 Rosewood Dr",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440351821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.