Healthcare Provider Details

I. General information

NPI: 1689414799
Provider Name (Legal Business Name): THRIVE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 MAYNARD AVE S
SEATTLE WA
98104-2920
US

IV. Provider business mailing address

611 MAYNARD AVE S
SEATTLE WA
98104-2920
US

V. Phone/Fax

Practice location:
  • Phone: 425-553-4325
  • Fax:
Mailing address:
  • Phone: 425-553-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YU HAN
Title or Position: MD
Credential:
Phone: 347-771-0044