Provider Demographics
NPI:1588756639
Name:RISE LTD.
Entity type:Organization
Organization Name:RISE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EX. DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-245-1868
Mailing Address - Street 1:106 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:ELKADER
Mailing Address - State:IA
Mailing Address - Zip Code:52043-9075
Mailing Address - Country:US
Mailing Address - Phone:563-245-1868
Mailing Address - Fax:563-245-2859
Practice Address - Street 1:106 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:ELKADER
Practice Address - State:IA
Practice Address - Zip Code:52043-9075
Practice Address - Country:US
Practice Address - Phone:563-245-1868
Practice Address - Fax:563-245-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0894048Medicaid