MEDICARE: A RISE ABOVE HOME CARE

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487268041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A RISE ABOVE HOME CARE

Provider Business Mailing Address
First Line	:	7255 ANTELOPE MEADOWS CIR
Second Line	:
City	:	PEYTON
State	:	CO
Zip	:	80831-5015
Country	:	US
Telephone Number	:	719-418-7830
Fax Number	:	719-985-8429

Provider Business Practice Location Address
First Line	:	1485 GOLDEN HILLS RD
Second Line	:
City	:	COLO SPGS
State	:	CO
Zip	:	80919-7928
Country	:	US
Telephone Number	:	719-418-7830
Fax Number	:	719-985-8429

Authorized Official
Title or Position	:	DIRECTOR OF CASE MANAGEMENT
Name	:	DONNA A CHAPMAN
Credential	:
Telephone Number	:	719-418-7830

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	12/05/2023

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