Provider Demographics
NPI:1376438093
Name:RISING STARS PERSONAL CARE STAFFING INC.
Entity type:Organization
Organization Name:RISING STARS PERSONAL CARE STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERINY
Authorized Official - Middle Name:
Authorized Official - Last Name:PROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-557-2323
Mailing Address - Street 1:700 COLEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-2637
Mailing Address - Country:US
Mailing Address - Phone:662-557-2323
Mailing Address - Fax:
Practice Address - Street 1:700 COLEMAN AVE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-2637
Practice Address - Country:US
Practice Address - Phone:662-557-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health