=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770368037
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRIVE HEALTH NORTHEAST, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2023
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 N WEST ST STE 1230
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19801-1058
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-754-8400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1125 17TH ST STE 1000
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80202-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-204-5760
-----------------------------------------------------
Fax | 720-617-8430
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP CENTRAL SERVICES
-----------------------------------------------------
Name | ALLIE SILVER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 980-443-4852
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------