=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023973039
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THRIVE & BELONG LIVING CO. LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2025
-----------------------------------------------------
Last Update Date | 12/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1515 HENDERSON DR
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52302-2331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-990-3052
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1515 HENDERSON DR
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52302-2331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF THRIVING OFFICER
-----------------------------------------------------
Name | ASHLEY BALEK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 319-990-3052
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320900000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------