Uprising Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UPRISING HEALTHCARE LLC

Practice address

1562 SW California Blvd
Port Saint Lucie, FL 34953-1736

Phone

(772) 475-7928

NPI assigned

Apr 5, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Quenicia Washington, RN

Title

Owner

Phone

(772) 475-7928

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1821627506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 SW CALIFORNIA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531736",
            "telephone_number": "772-475-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 SW CALIFORNIA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531736",
            "telephone_number": "772-475-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISING HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-05",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "QUENICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-475-7928",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "xfinity",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1562 SW California Blvd",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349531736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.