Healthcare Provider Details

I. General information

NPI: 1275106460
Provider Name (Legal Business Name): ARISING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 COMMONWEALTH AVE NE
MASSILLON OH
44646-4524
US

IV. Provider business mailing address

PO BOX 286
MASSILLON OH
44648-0286
US

V. Phone/Fax

Practice location:
  • Phone: 330-415-7541
  • Fax:
Mailing address:
  • Phone: 877-890-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: BREANNA ROBERSON
Title or Position: OWNER
Credential:
Phone: 877-890-7418