Provider Demographics
NPI:1912335928
Name:ARISE CHILD AND FAMILY SERVICE INC.
Entity Type:Organization
Organization Name:ARISE CHILD AND FAMILY SERVICE INC.
Other - Org Name:ARISE CDPAP
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-671-2901
Mailing Address - Street 1:635 JAMES ST
Mailing Address - Street 2:ATTN: BUSINESS OFFICE
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2226
Mailing Address - Country:US
Mailing Address - Phone:315-671-2959
Mailing Address - Fax:315-422-0948
Practice Address - Street 1:635 JAMES ST
Practice Address - Street 2:ATTN: BUSINESS OFFICE
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2226
Practice Address - Country:US
Practice Address - Phone:315-671-2959
Practice Address - Fax:315-422-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care