Healthcare Provider Details

I. General information

NPI: 1982403754
Provider Name (Legal Business Name): THRIVE RESPITE & RELIEF OF SALISBURY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 HENDERLITE ST
SALISBURY NC
28144-3602
US

IV. Provider business mailing address

9900 POPLAR TENT RD STE 115 - 3058
CONCORD NC
28027-9502
US

V. Phone/Fax

Practice location:
  • Phone: 980-206-8188
  • Fax:
Mailing address:
  • Phone: 980-206-8188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: GREGORY HUCKLEBERRY
Title or Position: OWNER/ MANAGER
Credential:
Phone: 980-206-8188