=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063921484
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRIVE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27 SOUTHERN HILLS DR
-----------------------------------------------------
City | ALISO VIEJO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92656-8055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-787-0316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27 SOUTHERN HILLS DR
-----------------------------------------------------
City | ALISO VIEJO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92656-8055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-787-0316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MICHAEL HONE
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 562-787-0316
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 19629
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------