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General NPI Number Information
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NPI Number | 1316644271
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Entity Type | Organization
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Legal Business Name | RISE HOMES
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2220 ALISE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-4061
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Country | US
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Telephone | 702-350-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 570 W CHEYENNE AVE STE 190
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-3983
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Country | US
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Telephone | 916-753-8309
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Fax | 888-892-2061
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Authorized Official
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Title or Position | CEO
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Name | DEJA FUIMAONO
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Credential | LCSW
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Telephone | 916-753-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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