Rising Star Personal Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

PCH009075 Issued in GA

Legal business name

RISING STAR PERSONAL CARE HOME LLC

Doing business as

Rising Star Personal Care Home

Practice address

5018 E Ponce de Leon Ave
Stone Mountain, GA 30083-1236

Phone

(404) 298-0150

Fax

(678) 904-5628

NPI assigned

Jan 12, 2015

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

RISING STAR HOME HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Terrie Lisa McGill

Title

Director of Operations

Phone

(678) 701-5115

Specialties & licenses 4

Addresses

Other names 2

• Rising Star Personal Care Home Doing business as
• Rising Star Home Health Care Services, LLC Other name

Part of

Rising Star Personal Care Home LLC

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1790174944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 E PONCE DE LEON AVE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831236",
            "telephone_number": "404-298-0150",
            "fax_number": "678-904-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 E PONCE DE LEON AVE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831236",
            "telephone_number": "404-298-0150",
            "fax_number": "678-904-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR PERSONAL CARE HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RISING STAR HOME HEALTHCARE LLC",
        "enumeration_date": "2015-01-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "678-701-5115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH009075",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Star Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rising Star Home Health Care Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.