=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801715511
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THRIVE TOGETHER CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2026
-----------------------------------------------------
Last Update Date | 07/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 639 MAIN ST STE 301
-----------------------------------------------------
City | STROUDSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18360-2030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-213-8302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 639 MAIN ST STE 301
-----------------------------------------------------
City | STROUDSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18360-2030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-213-8302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SENIOR PARTNER
-----------------------------------------------------
Name | ATTIKIS DAVIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 732-522-2101
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------