Active NPI
Arise Support Services LLC
- Home Health Agency
- Denver, CO
National Provider Identifier
1679220396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARISE SUPPORT SERVICES LLC
- Practice address
- 19557 E 39TH Ave
Denver, CO 80249-7347 - Phone
- (720) 400-2706
- NPI assigned
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adesoji Olufikayo Ajala
- Title
- Owner/Admin
- Phone
- (720) 400-2706
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
19557 E 39TH Ave
Denver, CO 80249-7347
Mailing address
19557 E 39TH Ave
Denver, CO 80249-7347
Phone (720) 400-2706
Other names 1
- Arise Support Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220510001571 | CO | Part A Provider - Home Health Agency | 5890172068 | Practice locations: Denver, CO |
Home health agency certification: CCN 067617
- Legal name
- ARISE SUPPORT SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 3, 2022
- Last certification
- Aug 25, 2022
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- May 8, 2020 in CO
- Enrollment address
- 19557 E 39TH Ave
Denver, CO 80249-7347
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Arise Support Services LLC
- Ownership
- Proprietary
- Certified
- Sep 3, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Arise Support Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denver, CO
- NPI 1144811357
-
- In Home Supportive Care Agency
- Denver, CO
- NPI 1205780996
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adesoji O Ajala | 5% Or Greater Direct Ownership Interest | May 8, 2020 | 50% |
| W-2 Managing Employee | May 8, 2020 | ||
| Operational/Managerial Control | May 8, 2020 | ||
| Oyenike O Ajala | 5% Or Greater Direct Ownership Interest | May 8, 2020 | 50% |
| W-2 Managing Employee | May 8, 2020 | ||
| Operational/Managerial Control | May 8, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Littleton, CO
- NPI 1063190825
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Littleton, CO
- NPI 1063190825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646438400000",
"number": "1679220396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19557 E 39TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802497347",
"telephone_number": "720-400-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19557 E 39TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802497347",
"telephone_number": "720-400-2706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A",
"authorized_official_last_name": "AJALA",
"authorized_official_first_name": "ADESOJI",
"authorized_official_middle_name": "OLUFIKAYO",
"authorized_official_title_or_position": "OWNER/ADMIN",
"authorized_official_telephone_number": "720-400-2706"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arise Support Services LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.