Provider Demographics
NPI:1427058031
Name:ARISE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ARISE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DALIA
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-580-1155
Mailing Address - Street 1:215 CATHOLIC WAR VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3972
Mailing Address - Country:US
Mailing Address - Phone:956-580-1155
Mailing Address - Fax:956-580-7911
Practice Address - Street 1:215 CATHOLIC WAR VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3972
Practice Address - Country:US
Practice Address - Phone:956-580-1155
Practice Address - Fax:956-580-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 253Z00000X, 3747P1801X, 385H00000X
TX004067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024998901Medicaid
TX000642500Medicaid
TX000123800Medicare ID - Type UnspecifiedPRIMARY HOME CARE
678155Medicare ID - Type Unspecified