MEDICARE: ARISE SUPPORT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1205780996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	19557 E 39TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7347
Country	:	US
Telephone Number	:	720-400-2706
Fax Number	:	866-598-3107

Provider Business Practice Location Address
First Line	:	19557 E 39TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7347
Country	:	US
Telephone Number	:	720-400-2706
Fax Number	:	866-598-3107

Authorized Official
Title or Position	:	ADMINISTRATOR/CLINICAL MANAGER
Name	:	ADESOJI O AJALA
Credential	:	NP
Telephone Number	:	720-400-2706

Provider Enumeration Date	:	02/21/2026
Last Update Date	:	02/21/2026

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Directions to “ARISE SUPPORT SERVICES LLC ” Practice Location

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