Healthcare Provider Details
I. General information
NPI: 1801715511
Provider Name (Legal Business Name): THRIVE TOGETHER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
639 MAIN ST STE 301
STROUDSBURG PA
18360-2030
US
IV. Provider business mailing address
639 MAIN ST STE 301
STROUDSBURG PA
18360-2030
US
V. Phone/Fax
- Phone: 570-213-8302
- Fax:
- Phone: 570-213-8302
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ATTIKIS
DAVIS
Title or Position: SENIOR PARTNER
Credential:
Phone: 732-522-2101