Organization Active NPI

We Thrive LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, ME
National Provider Identifier
1659142693
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WE THRIVE LLC
Practice address
184 Pearl St Apt 403
Portland, ME 04101-3491
Phone
(347) 828-1706
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Mathilde Micomyiza
Title
Ceo
Phone
(347) 828-1706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

184 Pearl St Apt 403
Portland, ME 04101-3491

Mailing address

184 Pearl St Apt 403
Portland, ME 04101-3491
Phone (347) 828-1706

National Provider Directory

National Provider Directory
Tax ID family
We Thrive LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1659142693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PEARL ST APT 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013491",
            "telephone_number": "347-828-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PEARL ST APT 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013491",
            "telephone_number": "347-828-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE THRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MICOMYIZA",
        "authorized_official_first_name": "MATHILDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-828-1706"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.