Organization Active NPI

Thrive Health Group, LLC

  • Home Health Agency
  • Jonesboro, GA
National Provider Identifier
1821873134
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THRIVE HEALTH GROUP, LLC
Practice address
9779 Rabun Way
Jonesboro, GA 30238-4148
Phone
(678) 641-8426
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Cedric Lavone Mack
Title
Owner
Phone
(678) 641-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9779 Rabun Way
Jonesboro, GA 30238-4148

Mailing address

9779 Rabun Way
Jonesboro, GA 30238-4148
Phone (678) 641-8426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1821873134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9779 RABUN WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384148",
            "telephone_number": "678-641-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9779 RABUN WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384148",
            "telephone_number": "678-641-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "LAVONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-641-8426"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.