Provider Demographics
NPI:1427205632
Name:RISING SUN HOME CARE INC.
Entity Type:Organization
Organization Name:RISING SUN HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:FELIPA
Authorized Official - Last Name:GRIMALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-399-2300
Mailing Address - Street 1:33777 FM 732
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-6713
Mailing Address - Country:US
Mailing Address - Phone:956-399-2300
Mailing Address - Fax:
Practice Address - Street 1:33777 FM 732
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-6713
Practice Address - Country:US
Practice Address - Phone:956-399-2300
Practice Address - Fax:956-399-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization