# JASEL THRIVECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659247062
- **Authorized official:** SIWACU GIDIONI (EXECUTIVE)
- **Authorized official phone:** (319) 320-3768

## Contact information

- **Practice address:** 1117 PAWNEE DR NW, CEDAR RAPIDS, IA 52405-2324
- **Practice address phone:** (319) 320-3768
- **Mailing address:** 1117 PAWNEE DR NW, CEDAR RAPIDS, IA 52405-2324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025