Healthcare Provider Details

I. General information

NPI: 1043129398
Provider Name (Legal Business Name): RISE RESTORING INDEPENDENCE, STABILITY AND EMPWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W OCEAN BLVD APT 1221
LONG BEACH CA
90802-4796
US

IV. Provider business mailing address

150 W OCEAN BLVD APT 1221
LONG BEACH CA
90802-4796
US

V. Phone/Fax

Practice location:
  • Phone: 562-276-5034
  • Fax:
Mailing address:
  • Phone: 562-276-5034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE JASMEEN PADILLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 562-276-5034