Healthcare Provider Details

I. General information

NPI: 1245842707
Provider Name (Legal Business Name): THRIVE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 BELMONT DR
HOOD RIVER OR
97031-8763
US

IV. Provider business mailing address

3607 BELMONT DR
HOOD RIVER OR
97031-8763
US

V. Phone/Fax

Practice location:
  • Phone: 602-312-7964
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILIA EPPERLY
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L, ECHM, CAPS
Phone: 602-312-7964