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General NPI Number Information
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NPI Number | 1952264996
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Entity Type | Organization
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Legal Business Name | THRIVE HOME HEALTH, LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 119 LAZY CREEK DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-1917
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Country | US
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Telephone | 512-818-7565
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Fax | 512-991-9381
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Provider Business Mailing Address
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Address Line | 119 LAZY CREEK DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-1917
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Country | US
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Telephone | 512-818-7565
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Fax | 512-991-9381
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | DAVID MONTALVO
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Credential |
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Telephone | 512-818-7565
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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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