Organization Active NPI

Rise and Shine Residential Care

  • Community/Behavioral Health Agency
  • Jamestown, ND
National Provider Identifier
1760130066
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISE AND SHINE RESIDENTIAL CARE
Doing business as
Rise and Shine Residential Care
Practice address
1400 10TH Ave NE Apt 221
Jamestown, ND 58401-2876
Phone
(170) 132-0487
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Mr. Douglas Mazuru Chimanga
Title
Executive Director
Phone
(701) 320-4871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1400 10TH Ave NE Apt 221
Jamestown, ND 58401-2876

Mailing address

1400 10TH Ave NE Apt 221
Jamestown, ND 58401-2876
Phone (170) 132-0487

Other names 1

  • Rise and Shine Residential Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1760130066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 10TH AVE NE APT 221",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012876",
            "telephone_number": "170-132-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 10TH AVE NE APT 221",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012876",
            "telephone_number": "170-132-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND SHINE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "CHIMANGA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MAZURU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-320-4871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise and Shine Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.