MEDICARE: ARISE HOME CARE SERVICES, INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902032048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE HOME CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	8209 SALADO SPRINGS DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-6926
Country	:	US
Telephone Number	:	972-377-2335
Fax Number	:

Provider Business Practice Location Address
First Line	:	8209 SALADO SPRINGS DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-6926
Country	:	US
Telephone Number	:	972-377-2335
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/DON
Name	:	ADENIKE ADEREMI ROUSEAU
Credential	:	RN BSN
Telephone Number	:	972-377-2335

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	06/03/2009

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Directions to “ARISE HOME CARE SERVICES, INC ” Practice Location

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