Healthcare Provider Details

I. General information

NPI: 1295663920
Provider Name (Legal Business Name): RISE OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 INTERSTATE NORTH CIR SE STE 2103
ATLANTA GA
30339-2556
US

IV. Provider business mailing address

3999 OAK WOODS CT
DOUGLASVILLE GA
30135-4327
US

V. Phone/Fax

Practice location:
  • Phone: 678-592-8799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS SIMON GRAHAM
Title or Position: BUSINESS MANAGER
Credential:
Phone: 678-592-8799