Healthcare Provider Details

I. General information

NPI: 1922582972
Provider Name (Legal Business Name): THRIVE HOME HEALTH AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 E HEIM AVE STE 202
ORANGE CA
92865-3016
US

IV. Provider business mailing address

1815 E HEIM AVE STE 202
ORANGE CA
92865-3016
US

V. Phone/Fax

Practice location:
  • Phone: 714-236-5700
  • Fax: 714-236-5059
Mailing address:
  • Phone: 714-236-5700
  • Fax: 714-236-5059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARILOU BARRETT
Title or Position: CEO
Credential:
Phone: 951-515-5147