Healthcare Provider Details
I. General information
NPI: 1912733072
Provider Name (Legal Business Name): WE THRIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7225 COLERAIN AVE STE 202
CINCINNATI OH
45239-5364
US
IV. Provider business mailing address
7225 COLERAIN AVE STE 202
CINCINNATI OH
45239-5364
US
V. Phone/Fax
- Phone: 513-394-1564
- Fax:
- Phone: 513-394-1564
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
WATSON
Title or Position: DOO
Credential:
Phone: 513-394-1564