Thrive Alf Wild

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THRIVE ALF WILD

Practice address

3280 E Wild Dr
San Tan Valley, AZ 85143-1604

Phone

(480) 847-0887

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Mufara

Title

Administrator

Phone

(480) 847-0887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1487493789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 E WILD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851431604",
            "telephone_number": "480-847-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E WILD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851431604",
            "telephone_number": "480-847-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE ALF WILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MUFARA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-847-0887"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeeps, LLC
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• Ryan C. Thomas, D.D.S.
• Anthony Marcilous Thompson
• Thrive Alf Freedom
• Collin Scott Tibbitts, RN
• Together Forward Advocacy LLC.
• Top Healthcare LLC
• Alycia Elena Torres
• Total Life QC PLLC (Total Life Counseling)

• Assisted Living Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.