Provider Demographics
NPI:1679362982
Name:RISE VENTURES CORP
Entity type:Organization
Organization Name:RISE VENTURES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CLIENT RELATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUMAYOWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUBANJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-698-4740
Mailing Address - Street 1:904 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1974
Mailing Address - Country:US
Mailing Address - Phone:201-532-8845
Mailing Address - Fax:908-842-0612
Practice Address - Street 1:904 COVENTRY DR
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1974
Practice Address - Country:US
Practice Address - Phone:201-532-8845
Practice Address - Fax:908-842-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care