Healthcare Provider Details

I. General information

NPI: 1558265264
Provider Name (Legal Business Name): THRIVING SENIORS CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9125 DOVER ST
LITHIA SPRINGS GA
30122
US

IV. Provider business mailing address

3133 MAPLE DR NE STE 240
ATLANTA GA
30305-2509
US

V. Phone/Fax

Practice location:
  • Phone: 678-820-5182
  • Fax:
Mailing address:
  • Phone: 678-820-5182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHERMICA YOUNG
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 678-820-5182