MEDICARE: THRIVE TRANSITIONAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1235072240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE TRANSITIONAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	8420 IBM DR APT 515
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4590
Country	:	US
Telephone Number	:	704-218-9272
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 IBM DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4581
Country	:	US
Telephone Number	:	704-218-9272
Fax Number	:

Authorized Official
Title or Position	:	OWNER - EXECUTIVE DIRECTOR
Name	:	MS. LA-TARRA SMITH
Credential	:
Telephone Number	:	704-218-9272

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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