Rise LTD

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

220379 Issued in IA

Legal business name

RISE LTD

Practice address

106 Rainbow Dr
Elkader, IA 52043-9075

Phone

(563) 245-1868

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Josten

Title

Executive Director

Phone

(563) 245-1868

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Rise LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rise LTD.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Elkader, IA
  • NPI 1588756639
  NPD tax ID

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1396120846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RAINBOW DR",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RAINBOW DR",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439075",
            "telephone_number": "563-245-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "JOSTEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-245-1868"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "220379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000124933",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588756639",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000204902",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Messerly, D.O
• Micah Minor Counseling, LLC
• Micah Minor, LMSW
• Moser Family Pharmacy
• Stephanie Mueller
• Rise LTD.
• Aaron Michael Schmidt
• Daniel James Shannon, R.PH.
• Melissa M Simon, DO
• Sarah Julia Simpson, ARNP- FNP-BC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Elkader, IA
• Providers in Elkader, IA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.