Healthcare Provider Details

I. General information

NPI: 1982512687
Provider Name (Legal Business Name): THRYVE FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 E WOODMEN RD STE 320
COLORADO SPRINGS CO
80923-2612
US

IV. Provider business mailing address

1755 TELSTAR DR STE 300
COLORADO SPRINGS CO
80920-1019
US

V. Phone/Fax

Practice location:
  • Phone: 719-900-5988
  • Fax:
Mailing address:
  • Phone: 719-900-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY ELLIS
Title or Position: OWNER/MANAGER
Credential:
Phone: 719-900-5988