Provider Demographics
| NPI: | 1588492375 |
|---|---|
| Name: | THRIVE RESIDENTIAL HOMES LLC |
| Entity type: | Organization |
| Organization Name: | THRIVE RESIDENTIAL HOMES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHANELL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FOSTER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 832-526-4571 |
| Mailing Address - Street 1: | 500 4TH ST. P.O. BOX 1321 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ORANGE |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77630 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2017 5TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | ORANGE |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77630-3592 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 832-526-4571 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-07-23 |
| Last Update Date: | 2024-07-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 174200000X | Other Service Providers | Meals | |
| No | 177F00000X | Other Service Providers | Lodging | |
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
| No | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |
| No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| No | 347C00000X | Transportation Services | Private Vehicle | |
| No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp |
