Organization Active NPI

Arise Home Health Care Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1972970622
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04L191 Issued in CO
Legal business name
ARISE HOME HEALTH CARE INC
Practice address
2323 S Troy St
Building 1 225
Aurora, CO 80014-1946
Phone
(720) 535-4678
Fax
(720) 696-6135
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Lauretta Ifeoma Iwuala McWilliams, RN BSNNPI 1528480886
Title
Ceo/Administrator
Phone
(720) 260-2718

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 04L191 CO
Home Health Agency 251E00000X 04L191 CO Primary
Nursing Care Agency 251J00000X 04L191 CO

Addresses

Primary practice location

2323 S Troy St
Building 1 225
Aurora, CO 80014-1946

Mailing address

2323 S Troy St
Building 1 Ste 225
Aurora, CO 80014-1946
Phone (720) 535-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210001083 CO Part A Provider - Home Health Agency 8325349632 Practice locations: Aurora, CO

Home health agency certification: CCN 067552

Legal name
ARISE HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 30, 2016
Last certification
Aug 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 27, 2014 in CO
Enrollment address
11059 E Bethany Dr
Ste 106
Aurora, CO 80014-2617

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arise Home Health Care IncCCN 067552
Ownership
Proprietary
Certified
Aug 30, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Arise Home Health Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2323 S Troy St
Bldg 1
Aurora, CO 80014
Phone (720) 535-4678

2323 S Troy St
Ste 1-225
Aurora, CO 80014
Phone (303) 960-3328

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lauretta Ifeoma Iwuala -McWilliams Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Dec 27, 2014 100%
Corporate OfficerCeo/Administrator Dec 27, 2014 100%
W-2 Managing EmployeeCeo/Administrator Dec 27, 2014 100%
Ken Iwualla Individual Corporate DirectorBoard Member May 15, 2015
Kelly Kropf Individual Corporate Director May 15, 2015
Tamara G Lindgren Individual Corporate DirectorBoard Member May 15, 2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1972970622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "BUILDING 1 STE 225",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "720-535-4678",
            "fax_number": "720-696-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "BUILDING 1 225",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "720-535-4678",
            "fax_number": "720-696-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "IWUALA MCWILLIAMS",
        "authorized_official_first_name": "LAURETTA",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "720-260-2718",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CO",
            "license": "04L191",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04L191",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CO",
            "license": "04L191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.