Active NPI
Grupe Thrive Inc.
- Mental Illness Community Based Residential Treatment Facility
- Concord, NC
National Provider Identifier
1538910864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- GRUPE THRIVE INC.
- Practice address
- 28 Stricker Ave NW
Concord, NC 28027-5918 - Phone
- (980) 248-1410
- NPI assigned
- Mar 27, 2024
- Last updated
- Jun 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wahida H Taylor
- Title
- Executive Director
- Phone
- (704) 648-5748
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
28 Stricker Ave NW
Concord, NC 28027-5918
Mailing address
7595 Sedgebrook Dr W
Stanley, NC 28164-9742
Phone (704) 648-5748
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1538910864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7595 SEDGEBROOK DR W",
"city": "STANLEY",
"state": "NC",
"postal_code": "281649742",
"telephone_number": "704-648-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 STRICKER AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275918",
"telephone_number": "980-248-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUPE THRIVE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "WAHIDA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-648-5748"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.