Organization Active NPI

Strides 2 Thrive LLC

  • Developmentally Disabled Services Day Training Agency
  • Flagstaff, AZ
National Provider Identifier
1902638752
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
STRIDES 2 THRIVE LLC
Practice address
5043 E Empire Ave Ste a
Flagstaff, AZ 86004-2840
Phone
(928) 699-8920
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Jennifer Vance
Title
President and Ceo
Phone
(928) 699-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

5043 E Empire Ave Ste a
Flagstaff, AZ 86004-2840

Mailing address

PO Box 3807
Flagstaff, AZ 86003-3807
Phone (928) 699-8920

National Provider Directory

National Provider Directory

Locations

5043 E Empire Ave
Ste A
Flagstaff, AZ 86004
Phone (928) 699-8920

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1902638752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3807",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033807",
            "telephone_number": "928-699-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E EMPIRE AVE STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042840",
            "telephone_number": "928-699-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES 2 THRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "928-699-8920"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.