Rise Early Intervention Services Llc

LBN: Rise Early Intervention Services Llc
Rise Early Intervention Services Llc is an health care organization with primary practice located at 4554 E Inverness Ave Ste C3, Mesa AZ 85206-4639. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Rise Early Intervention Services Llc can be contacted via phone (480) 295-4925, or through Mancuso, Kristin via phone (480) 295-4958.

Contact Information

Primary practice address
4554 E Inverness Ave Ste C3 Mesa AZ 85206-4639
Phone: (480) 295-4925
Fax: (480) 497-4756
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Kristin PT DPT
Phone: (480) 295-4958

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1669818035
LBN Legal business name Rise Early Intervention Services Llc
DBA Doing business as
Authorized official Mancuso, Kristin PT DPT
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2013
Last updated Nov 30th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669818035 NPPES
Arizona MEDICAID 949156

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