Organization Active NPI

Arise Homecare Services PLLC

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1831727627
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARISE HOMECARE SERVICES PLLC
Practice address
8017 Idaho Cir N
Brooklyn Park, MN 55445-2618
Phone
(763) 717-8284
Fax
(763) 951-2515
NPI assigned
Mar 29, 2020
Last updated
Mar 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Authorized official

Name
Jackline N Ongechi, RNNPI 1437782984
Title
Administrator
Phone
(763) 227-3482

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8017 Idaho Cir N
Brooklyn Park, MN 55445-2618

Mailing address

10358 Orchard TRL N
Brooklyn Park, MN 55443-1895
Phone (763) 227-3482

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2183757Arise Homecare Services PLLC8017 Idaho Circle N, Brooklyn Park, MN 55445Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1831727627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10358 ORCHARD TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431895",
            "telephone_number": "763-227-3482",
            "fax_number": "763-951-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 IDAHO CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452618",
            "telephone_number": "763-717-8284",
            "fax_number": "763-951-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE HOMECARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "ONGECHI",
        "authorized_official_first_name": "JACKLINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-227-3482",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.