Provider Demographics
NPI:1427471143
Name:RISE, INC.
Entity type:Organization
Organization Name:RISE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-717-2387
Mailing Address - Street 1:1358 W. BUSINESS PARK
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058
Mailing Address - Country:US
Mailing Address - Phone:801-717-2387
Mailing Address - Fax:
Practice Address - Street 1:1358 W BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-2203
Practice Address - Country:US
Practice Address - Phone:801-717-2387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2014-HHA-UT000654251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2014-HHA-UT000654OtherLICENSE