Thrive Behavioral Network Iii, Llc in Lake Elmo - Community Based Residential Treatment Facility, Mental Illness
Thrive Behavioral Network Iii, Llc - NPI 1659598894
Thrive Behavioral Network Iii, Llc is a Community Based Residential Treatment Facility, Mental Illness in Lake Elmo, Minnesota. Thrive Behavioral Network Iii, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Thrive Behavioral Network Iii, Llc is 1659598894. The last update date is 2022-11-08.
Thrive Behavioral Network Iii, Llc's current location address is 3819 Lavern Ave N, Lake Elmo, Minnesota. You can contact this provider via phone number 6517702224 and fax number 6517736501. The mailing address for Thrive Behavioral Network Iii, Llc is 3819 Lavern Ave N, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thrive Behavioral Network Iii, Llc |
|---|---|
| Address | 3819 Lavern Ave N, Lake Elmo, Minnesota |
| Phone Number | 6517702224 |
| Fax Number | 6517736501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bradley Jeff |
| Telephone Number | 6123857857 |
NPI Number Detail
| NPI Number | 1659598894 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
| Address | 3819 Lavern Ave N |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550429629 |
| Phone Number | 6517702224 |
| Fax Number | 6517736501 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 81011-3-RMI |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identifier code issued to Thrive Behavioral Network Iii, Llc by the Centers for Medicare & Medicaid Services?
The Thrive Behavioral Network Iii, Llc has been assigned the NPI (National Provider Identifier) 1659598894 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Thrive Behavioral Network Iii, Llc?
The Thrive Behavioral Network Iii, Llc is situated at 3819 Lavern Ave N, in the city of Lake Elmo, state of MN, with the zip code 550429629.
What is Thrive Behavioral Network Iii, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thrive Behavioral Network Iii, Llc's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659598894 to Thrive Behavioral Network Iii, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1659598894 to Thrive Behavioral Network Iii, Llc on 2007-04-19.
As of what date were the details related to Thrive Behavioral Network Iii, Llc most recently updated or revised?
The information pertaining to Thrive Behavioral Network Iii, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-08.