NPIMap

Organization Active NPI

Thrive Behavioral Network II, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • New Ulm, MN
National Provider Identifier
1407072929
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
807679-2-RMI Issued in MN
Legal business name
THRIVE BEHAVIORAL NETWORK II, LLC
Practice address
1310 S German St
New Ulm, MN 56073-3478
Phone
(507) 354-2174
Fax
(507) 354-6192
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Jeff Bradley
Title
President
Phone
(612) 385-7857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 807679-2-RMI MN Primary

Addresses

Primary practice location

1310 S German St
New Ulm, MN 56073-3478

Mailing address

2700 1St St N Ste 300
Saint Cloud, MN 56303-4587
Phone (320) 255-9530

Other names 1

  • Nova House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Manor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1407072929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 300",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034587",
            "telephone_number": "320-255-9530",
            "fax_number": "320-251-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S GERMAN ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733478",
            "telephone_number": "507-354-2174",
            "fax_number": "507-354-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE BEHAVIORAL NETWORK II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-385-7857"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "807679-2-RMI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Ulm, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.