Active NPI
R.I.S.E. Community Services LLC
- Community/Behavioral Health Agency
- Shreveport, LA
National Provider Identifier
1760979488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- R.I.S.E. COMMUNITY SERVICES LLC
- Practice address
- 333 Texas St Ste 1300
Shreveport, LA 71101-3783 - Phone
- (888) 312-7473
- NPI assigned
- Apr 18, 2018
- 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
- Mr. Ralpheal Johnson
- Title
- President/Ceo
- Phone
- (225) 620-5617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
333 Texas St Ste 1300
Shreveport, LA 71101-3783
Mailing address
PO Box 52104
Shreveport, LA 71135-2104
Phone (225) 620-5617
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524009600000",
"number": "1760979488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52104",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711352104",
"telephone_number": "225-620-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 TEXAS ST STE 1300",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013783",
"telephone_number": "888-312-7473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R.I.S.E. COMMUNITY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RALPHEAL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "225-620-5617",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.