THRIVE GR LLC NPI 1285454934

NPI Information

  • NPI: 1285454934
  • Provider Name: THRIVE GR LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5565 BROADMOOR AVE SE # DOORR
    KENTWOOD, MI
    ZIP 49512
  • Phone: (225) 620-7654

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NPI Details

THRIVE GR LLC is a family medicine in Kentwood, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THRIVE GR LLC NPI is 1285454934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5565 BROADMOOR AVE SE # DOORR
KENTWOOD, MI
ZIP 49512-302
Phone: (225) 620-7654

The provider's authorized official is Joseph Williams .
The authorized official title is Owner and has the following contact phone number (225) 620-7654.

The enumeration date for this NPI number is 10/16/2024 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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