Provider Demographics
NPI:1164039327
Name:RISING HOPE HOMECARE AGENCY LLC
Entity Type:Organization
Organization Name:RISING HOPE HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ACHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-931-8792
Mailing Address - Street 1:3947 MASSEY WOOD TRIL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9749
Mailing Address - Country:US
Mailing Address - Phone:919-931-8792
Mailing Address - Fax:919-679-3381
Practice Address - Street 1:1755 PARHAM ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-3957
Practice Address - Country:US
Practice Address - Phone:919-931-8792
Practice Address - Fax:919-679-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care