Thrive Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THRIVE HEALTH INC.

Practice address

8600 W 3Rd St Ste 4
Los Angeles, CA 90048-3338

Phone

(310) 393-1272

NPI assigned

Jun 8, 2019

Organization subpart

No

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

Authorized official

Name

Edward Devitt

Title

Administrator

Phone

(310) 393-1272

Specialties & licenses 1

Addresses

Other names 1

• Thrive Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559265

Legal name

THRIVE HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 27, 2020

Last certification

Aug 27, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 16, 2017 in CA

Enrollment address

12061-B W Jefferson Blvd
Los Angeles, CA 90230

Listed as

Thrive HealthcareCCN 559265

Ownership

Proprietary

Certified

Aug 27, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1952960460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W 3RD ST STE 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483338",
            "telephone_number": "310-393-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W 3RD ST STE 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483338",
            "telephone_number": "310-393-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DEVITT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-393-1272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.