Organization Active NPI

Thrive Community Connections

  • Case Manager/Care Coordinator
  • Belleville, IL
National Provider Identifier
1093598872
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
THRIVE COMMUNITY CONNECTIONS
Practice address
34 Bedford Dr
Belleville, IL 62226-5710
Phone
(618) 225-2639
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Brandice Eckford
Title
Owner
Phone
(618) 225-2639

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary
Home Health Agency 251E00000X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

34 Bedford Dr
Belleville, IL 62226-5710

Mailing address

34 Bedford Dr
Belleville, IL 62226-5710
Phone (618) 225-2639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1093598872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEDFORD DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265710",
            "telephone_number": "618-225-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BEDFORD DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265710",
            "telephone_number": "618-225-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COMMUNITY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ECKFORD",
        "authorized_official_first_name": "BRANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-225-2639"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.