Healthcare Provider Details

I. General information

NPI: 1710957683
Provider Name (Legal Business Name): RISING GROUND. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 HAWTHORNE AVE
YONKERS NY
10705-3441
US

IV. Provider business mailing address

1333 BROADWAY FL 8
NEW YORK NY
10018-1064
US

V. Phone/Fax

Practice location:
  • Phone: 914-375-8719
  • Fax: 914-375-8902
Mailing address:
  • Phone: 212-437-3500
  • Fax: 914-375-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY VELASQUEZ
Title or Position: BILLING AND CONTRACTING MANAGER
Credential: CPC
Phone: 347-963-8562