MEDICARE: RISING CARE HOLDINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588529028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING CARE HOLDINGS

Provider Business Mailing Address
First Line	:	2914 PINE AVE # 1073
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-2444
Country	:	US
Telephone Number	:	716-436-8943
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 DEURO DR APT 1
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14304-3038
Country	:	US
Telephone Number	:	716-436-8943
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELINDA MATTHEWS
Credential	:
Telephone Number	:	716-436-8943

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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