Provider Demographics
NPI:1861242125
Name:THRIVE ONE LLC
Entity type:Organization
Organization Name:THRIVE ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-864-9050
Mailing Address - Street 1:15320 BOSTON PKWY APT 108
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4705
Mailing Address - Country:US
Mailing Address - Phone:515-864-9050
Mailing Address - Fax:
Practice Address - Street 1:15320 BOSTON PKWY APT 108
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4705
Practice Address - Country:US
Practice Address - Phone:515-864-9050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities