Provider Demographics
NPI:1134698426
Name:ARISE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ARISE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURETTA
Authorized Official - Middle Name:IFEOMA
Authorized Official - Last Name:IWUALA -MCWILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:720-535-4678
Mailing Address - Street 1:2323 S TROY ST STE 1-225
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1968
Mailing Address - Country:US
Mailing Address - Phone:720-535-4678
Mailing Address - Fax:
Practice Address - Street 1:2323 S TROY ST STE 1-225
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1968
Practice Address - Country:US
Practice Address - Phone:720-535-4678
Practice Address - Fax:720-696-6135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care