Rise Up Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RISE UP HOME CARE

Practice address

6108 Candlewood Dr
Brooklyn Park, MN 55443-2020

Phone

(609) 346-9315

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Joan Kibaara

Title

Owner/Lald

Phone

(609) 346-3915

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1992370886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15451 SCHERBER LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692678",
            "telephone_number": "609-346-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 CANDLEWOOD DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432020",
            "telephone_number": "609-346-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "KIBAARA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/LALD",
        "authorized_official_telephone_number": "609-346-3915"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.