Healthcare Provider Details

I. General information

NPI: 1194384818
Provider Name (Legal Business Name): THRIVE ADULT DAY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 HARRIS RD UNIT 101
BAKERSFIELD CA
93311-9846
US

IV. Provider business mailing address

2955 E. HILLCREST DR SUITE 129
THOUSAND OAKS CA
91362
US

V. Phone/Fax

Practice location:
  • Phone: 805-917-2005
  • Fax: 805-917-2003
Mailing address:
  • Phone: 805-917-2005
  • Fax: 805-917-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SILLARS
Title or Position: ADMINISTRATOR
Credential: LCSW, MSW
Phone: 805-917-2005