Provider Demographics
NPI:1558116699
Name:RISING STAR HOME HEALTH CARE INC
Entity type:Organization
Organization Name:RISING STAR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD JAYSON
Authorized Official - Middle Name:AGCAOILI
Authorized Official - Last Name:ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-213-9596
Mailing Address - Street 1:2235 E FLAMINGO RD STE 147
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0806
Mailing Address - Country:US
Mailing Address - Phone:702-381-3227
Mailing Address - Fax:
Practice Address - Street 1:2235 E FLAMINGO RD STE 147
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0806
Practice Address - Country:US
Practice Address - Phone:702-381-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health