Provider Demographics
NPI:1184327389
Name:ARISE CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:ARISE CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-728-8211
Mailing Address - Street 1:2159 KOMO MAI DR
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1330
Mailing Address - Country:US
Mailing Address - Phone:808-728-8211
Mailing Address - Fax:808-200-5569
Practice Address - Street 1:2159 KOMO MAI DR
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1330
Practice Address - Country:US
Practice Address - Phone:808-728-8211
Practice Address - Fax:808-200-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health