Organization Active NPI

Thrive Care LLC

  • Primary Care Clinic/Center
  • Abilene, TX
National Provider Identifier
1508603382
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THRIVE CARE LLC
Practice address
1326 S 14TH St Ste D-D1
Abilene, TX 79602-3743
Phone
(940) 882-2622
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Ade Manga, PHD
Title
Business Manager
Phone
(940) 882-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1326 S 14TH St Ste D-D1
Abilene, TX 79602-3743

Mailing address

1326 S 14TH St Ste D-D1
Abilene, TX 79602-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906000960 TX Part B Supplier - Clinic/Group Practice 4486194313 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

1326 S 14th St
Ste D
Abilene, TX 79602
Phone (325) 275-7932

1326 S 14th St
Ste DD1
Abilene, TX 79602
Phone (325) 352-0148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1508603382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S 14TH ST STE D-D1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796023743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S 14TH ST STE D-D1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796023743",
            "telephone_number": "940-882-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "MANGA",
        "authorized_official_first_name": "ADE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "940-882-2622",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.