Organization Active NPI

Rise Home Supports LLC

  • Home Health Agency
  • Ocala, FL
National Provider Identifier
1366160640
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RISE HOME SUPPORTS LLC
Practice address
217 SE 1St Ave
Ocala, FL 34471-2161
Phone
(352) 877-9779
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Kelley Brown MooreNPI 1609594985
Title
Owner
Phone
(352) 877-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

217 SE 1St Ave
Ocala, FL 34471-2161

Mailing address

217 SE 1St Ave
Ocala, FL 34471-2161

Other identifiers 1

IdentifierTypeStateIssuer
568OtherFLAHCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ceo@risehomesupportservices.co

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1366160640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SE 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SE 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712161",
            "telephone_number": "352-877-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE HOME SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN MOORE",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-877-9779"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "568",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ceo@risehomesupportservices.co",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "217 SE 1st Ave",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344712161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.