Arise Autism Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ARISE AUTISM CENTER

Practice address

3842 Bear Ridge Ave S
Saint Cloud, MN 56301-6244

Phone

(320) 260-6718

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 2023By 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

Bisharo ImanNPI 1033923487

Title

Owner

Phone

(320) 260-6718

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bisharo Iman

  • Contractor
  • Saint Cloud, MN
  • NPI 1033923487
  NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1487422275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 BEAR RIDGE AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016244",
            "telephone_number": "320-260-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 BEAR RIDGE AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016244",
            "telephone_number": "320-260-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "IMAN",
        "authorized_official_first_name": "BISHARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-260-6718"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimo Aralle
• Halimo Helole Arays
• Beverly Ione Archer
• Elizabeth Marie Archer
• Tracy Ellen Arduser, PT
• Arise Private Pay, LLC (Arise Home Health Care)
• Arise Ventures, Inc. (Arise Cares)
• Dorothy Arko
• Lynn Rene Arlt, LMSW
• Angeline Marie Armstrong, BSN, RN, CHPN

• Early Intervention Provider Agency in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.