Provider Demographics
NPI:1629160247
Name:ARISE TODAY INC.
Entity Type:Organization
Organization Name:ARISE TODAY INC.
Other - Org Name:CRESCENT HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-375-0101
Mailing Address - Street 1:4085 OHIO DR STE 500
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6240
Mailing Address - Country:US
Mailing Address - Phone:214-375-0101
Mailing Address - Fax:214-375-0099
Practice Address - Street 1:4085 OHIO DR STE 500
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6240
Practice Address - Country:US
Practice Address - Phone:214-375-0101
Practice Address - Fax:214-375-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010188251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001014175Medicaid
TX679426Medicare ID - Type Unspecified