Provider Demographics
NPI:1922396092
Name:RISE AND SHINE FOUNDATION, INC
Entity Type:Organization
Organization Name:RISE AND SHINE FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:SHERESE
Authorized Official - Last Name:WILLIAMS-PEEBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-337-2857
Mailing Address - Street 1:7331 N LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-2001
Mailing Address - Country:US
Mailing Address - Phone:816-337-2857
Mailing Address - Fax:800-482-2125
Practice Address - Street 1:7331 N LEWIS AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-2001
Practice Address - Country:US
Practice Address - Phone:602-400-8331
Practice Address - Fax:816-222-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No305S00000XManaged Care OrganizationsPoint of Service
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care