Risen Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RISEN HOME CARE LLC

Practice address

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone

(763) 227-8846

Fax

(763) 445-2501

NPI assigned

Dec 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelique Biakasasa KapilaNPI 1851953343

Title

Chief Administrative Officer

Phone

(763) 227-8846

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelique Biakasasa Kapila

  • Home Health Aide
  • Maple Grove, MN
  • NPI 1851953343
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1154968824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "763-227-8846",
            "fax_number": "763-445-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "763-227-8846",
            "fax_number": "763-445-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "KAPILA",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "BIAKASASA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "763-227-8846"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "1851953343",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angeliquekapila@risenhome.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "11670 Fountains Dr Ste 200",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553697195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Maple Grove, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.