Provider Demographics
| NPI: | 1932070075 |
|---|---|
| Name: | RISE UP FACILITIES |
| Entity type: | Organization |
| Organization Name: | RISE UP FACILITIES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LAKENYA |
| Authorized Official - Middle Name: | MIMS |
| Authorized Official - Last Name: | HORTON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 832-315-9074 |
| Mailing Address - Street 1: | 2308 NARUNA LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LEAGUE CITY |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77573-7381 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 832-315-9074 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 301 HORTON VILLAS |
| Practice Address - Street 2: | |
| Practice Address - City: | BELZONI |
| Practice Address - State: | MS |
| Practice Address - Zip Code: | 39038-1800 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 662-303-8880 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-09-12 |
| Last Update Date: | 2025-09-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 174200000X | Other Service Providers | Meals | |
| No | 177F00000X | Other Service Providers | Lodging | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 302R00000X | Managed Care Organizations | Health Maintenance Organization | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
| No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
| No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
| No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |