Provider Demographics
NPI:1891338620
Name:RISE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:RISE HEALTHCARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SODEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-393-0023
Mailing Address - Street 1:9888 BISSONNET ST STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8249
Mailing Address - Country:US
Mailing Address - Phone:832-994-8521
Mailing Address - Fax:
Practice Address - Street 1:9888 BISSONNET ST STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8249
Practice Address - Country:US
Practice Address - Phone:832-831-2696
Practice Address - Fax:832-925-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health