Thrive Home Agency, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

THRIVE HOME AGENCY, LLC

Practice address

408 Washington Ave
West Plains, MO 65775-3424

Phone

(417) 372-1348

Fax

(417) 255-8799

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Jacqueline Ann Sisco

Title

Co-Owner/Administrator

Phone

(417) 372-1348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine E Newton, LCSW

  • Clinical Social Worker
  • West Plains, MO
  • NPI 1720135031
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1982247326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WASHINGTON AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753424",
            "telephone_number": "417-372-1348",
            "fax_number": "417-255-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WASHINGTON AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753424",
            "telephone_number": "417-372-1348",
            "fax_number": "417-255-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HOME AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "417-372-1348"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Thomas, M.D.
• Heather Thompson
• James E Thompson Jr., M.D.
• Jessica Nicole Thornsberry
• Chelsie Thornton
• Through Him Medical, LLC
• Bailey Tollenaar, LPC
• John Tollenaar, DPT
• Richard Gray Tompson, M.D.
• Amber Dawn Tooley, NP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Plains, MO
• Providers in West Plains, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.