Provider Demographics
NPI: | 1932070075 |
---|---|
Name: | RISE UP FACILITIES |
Entity type: | Organization |
Organization Name: | RISE UP FACILITIES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LAKENYA |
Authorized Official - Middle Name: | MIMS |
Authorized Official - Last Name: | HORTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 832-315-9074 |
Mailing Address - Street 1: | 2308 NARUNA LN |
Mailing Address - Street 2: | |
Mailing Address - City: | LEAGUE CITY |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77573-7381 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-315-9074 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 301 HORTON VILLAS |
Practice Address - Street 2: | |
Practice Address - City: | BELZONI |
Practice Address - State: | MS |
Practice Address - Zip Code: | 39038-1800 |
Practice Address - Country: | US |
Practice Address - Phone: | 662-303-8880 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-09-12 |
Last Update Date: | 2025-09-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 174200000X | Other Service Providers | Meals | |
No | 177F00000X | Other Service Providers | Lodging | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 302R00000X | Managed Care Organizations | Health Maintenance Organization | |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |