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NPI 1871348151

NPI 1871348151 : THRIVECARE HOME SERVICES : STAFFORD, VA

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General NPI Number Information
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    NPI Number           |    1871348151
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    Entity Type          |    Organization 
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    Legal Business Name  |    THRIVECARE HOME SERVICES 
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Dates
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    Enumeration Date     |    04/20/2024
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    Last Update Date     |    04/20/2024
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Provider Practice Location Address
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    Address Line         |    26 HOT SPRINGS WAY 
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    City                 |    STAFFORD
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    State                |    VA
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    Zip                  |    22554-7752
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    Country              |    US
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    Telephone            |    703-386-6585
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26 HOT SPRINGS WAY 
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    City                 |    STAFFORD
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    State                |    VA
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    Zip                  |    22554-7752
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    Country              |    US
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    Telephone            |    703-386-6585
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     EVELYN ANSAH LARBI 
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    Credential           |    
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    Telephone            |    170-338-6658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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