- Enrollment id
- O20181214000163
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1598169864
- Multiple npi flag
- N
- Ccn
- 053189
- Associate id
- 1759669997
- Organization name
- THRIVE HOME HEALTH INC.
- Incorporation date
- 2014-05-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10523 BURBANK BLVD
- Address line 2
- STE 202
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916012237