Organization Active NPI

Rise Supported Living

  • In Home Supportive Care Agency
  • Blue Ash, OH
National Provider Identifier
1912601196
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RISE SUPPORTED LIVING
Practice address
10979 Reed Hartman Hwy Ste 101
Blue Ash, OH 45242-2888
Phone
(513) 364-4264
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Ms. Sakina R DevereauxNPI 1205602026
Title
Ceo
Phone
(513) 364-4264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10979 Reed Hartman Hwy Ste 101
Blue Ash, OH 45242-2888

Mailing address

10979 Reed Hartman Hwy Ste 101
Blue Ash, OH 45242-2888
Phone (513) 364-4264

National Provider Directory

National Provider Directory

Locations

10979 Reed Hartman Hwy
Ste 101
Blue Ash, OH 45242
Phone (513) 364-4264

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1912601196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422888",
            "telephone_number": "513-364-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422888",
            "telephone_number": "513-364-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DEVEREAUX",
        "authorized_official_first_name": "SAKINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-364-4264",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.