Active NPI
Arise Home Health Care Inc
- Home Health Agency
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04L191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauretta Ifeoma Iwuala McWilliams, RN BSN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Aug 30, 2016
- Medicare certification status
- Active
- 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Aurora, CO
- NPI 1134698426
-
- Personal Care Attendant
- Aurora, CO
- NPI 1356058481
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lauretta Ifeoma Iwuala -McWilliams | 5% Or Greater Direct Ownership Interest | Dec 27, 2014 | 100% |
| Corporate Officer | Dec 27, 2014 | 100% | |
| W-2 Managing Employee | Dec 27, 2014 | 100% | |
| Ken Iwualla | Corporate Director | May 15, 2015 | |
| Kelly Kropf | Corporate Director | May 15, 2015 | |
| Tamara G Lindgren | Corporate Director | 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.
-
- Family Nurse Practitioner
- Aurora, CO
- NPI 1528480886
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.