Potential on the Rise LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POTENTIAL ON THE RISE LLC

Practice address

4875 Santa Monica Blvd
Los Angeles, CA 90029-2633

Phone

(646) 294-2070

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Theresa Millio

Title

Owner

Phone

(646) 294-2070

Specialties & licenses 1

Addresses

Tax ID family

Potential on the Rise LLC2 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.

• Potential on the Rise LLC

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1376311779
  NPD tax ID

Locations

Practitioners 2

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

• Thomas Colbert

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1962236331
  NPD
• Marta Fajardo

  • Behavior Technician
  • Los Angeles, CA
  • NPI 1881438471
  NPD

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": "1497523294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292633",
            "telephone_number": "646-294-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292633",
            "telephone_number": "646-294-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL ON THE RISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MILLIO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-294-2070"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Hilde Postman Kuchta, DPT
• Postolova Acupuncture Group, Inc.
• Lyusyena Postolova, L.AC., DACM
• Noemi Potenciano
• Potential on the Rise LLC
• Catherine Potin
• Griselda Potka, MD
• Sonja Potrebic, MD
• Lisa Potruch
• Melissa Pottash

• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• 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.