Provider Demographics
NPI:1982403754
Name:THRIVE RESPITE & RELIEF OF SALISBURY LLC
Entity type:Organization
Organization Name:THRIVE RESPITE & RELIEF OF SALISBURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUCKLEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-206-8188
Mailing Address - Street 1:9900 POPLAR TENT RD
Mailing Address - Street 2:STE 115 - 3058
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-9502
Mailing Address - Country:US
Mailing Address - Phone:980-206-8188
Mailing Address - Fax:
Practice Address - Street 1:118 HENDERLITE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3602
Practice Address - Country:US
Practice Address - Phone:980-206-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child