R.I.S.E Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

R.I.S.E FAMILY SERVICES LLC

Practice address

9811 Mallard Dr Ste 203
Laurel, MD 20708-3199

Phone

(301) 778-8835

NPI assigned

Feb 4, 2021

Organization subpart

Yes

Parent organization

R.I.S.E FAMILY SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Shonnell Ham, LMSW

Title

Ceo

Phone

(240) 918-0861

Specialties & licenses 3

Addresses

Electronic endpoints 1

Tax ID family

Rise Family Services LLC4 organizations share this tax ID, including this one

Part of

Rise Family Services LLC

Other organizations with this tax ID 3

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

• R.I.S.E Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1003552498
  NPD tax ID
• R.I.S.E Family Services LLC

  • Respite Care
  • Laurel, MD
  • NPI 1467300087
  NPD tax ID
• R.I.S.E Family Services LLC

  • Substance Abuse Rehabilitation Facility
  • Laurel, MD
  • NPI 1720736614
  NPD tax ID

Locations

Practitioners 1

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

• Shonnell Shelton

  • Clinical Social Worker
  • Laurel, MD
  • NPI 1679152441
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1518559285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-778-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-778-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.I.S.E FAMILY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.I.S.E FAMILY SERVICES LLC",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SHONNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-918-0861",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http:rise-family.org",
            "affiliation": "N",
            "endpointDescription": "Company secure website",
            "address_1": "9811 Mallard Dr Ste 203",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207083199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Helmy Qurtom, MD
• R L Blissful Medical Clinic, LLC
• R.I.S.E Family Services LLC
• R.I.S.E Family Services LLC (RISE Family Services)
• R.I.S.E Family Services LLC
• R.I.S.E Family Services LLC
• Lida Radfar, D.D.S.
• Radiant Therapy, LLC
• Michael Rados, LMSW
• Vaibhav Rai, DDS

• Community/Behavioral Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.