Healthcare Provider Details

I. General information

NPI: 1427913045
Provider Name (Legal Business Name): THRIVING SENIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 MASON ST STE 101
VACAVILLE CA
95688-4541
US

IV. Provider business mailing address

479 MASON ST STE 109
VACAVILLE CA
95688-4541
US

V. Phone/Fax

Practice location:
  • Phone: 707-317-1740
  • Fax: 707-471-4094
Mailing address:
  • Phone: 707-317-1740
  • Fax: 707-471-4028

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: REBECCA SMITH
Title or Position: ADMINISTRATOR OWNER
Credential:
Phone: 707-317-1740