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NPI Code Detail

MEDICARE: HOPE RISE PSYCHIATRIC REHAB CENTER LLC

MEDICARE: HOPE RISE PSYCHIATRIC REHAB CENTER 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1982568523
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE RISE PSYCHIATRIC REHAB CENTER LLC
Provider Business Mailing Address
First Line : 16 AMBO CIR
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-1322
Country : US
Telephone Number : 443-554-5549
Fax Number :
Provider Business Practice Location Address
First Line : 16 AMBO CIR
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-1322
Country : US
Telephone Number : 443-554-5549
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. OSEH SAMSON ENOSIN
Credential :
Telephone Number : 443-554-5549
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/15/2025

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Directions to “HOPE RISE PSYCHIATRIC REHAB CENTER LLC ” Practice Location

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