MEDICARE: RISE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	1041C0700X	Clinical Social Worker
2	251S00000X	Community/Behavioral Health Agency	UT
3	261QA0600X	Adult Day Care Clinic/Center
4	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1720049190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISE, INC

Provider Business Mailing Address
First Line	:	PO BOX 539
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84059-0539
Country	:	US
Telephone Number	:	801-852-4581
Fax Number	:	800-699-9115

Provider Business Practice Location Address
First Line	:	3076 N FIVE MILE RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-5215
Country	:	US
Telephone Number	:	208-376-4999
Fax Number	:	208-550-3264

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE MANAGER
Name	:	MS. MABEL BRITO
Credential	:
Telephone Number	:	480-295-3327

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	08/15/2025

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Directions to “RISE, INC ” Practice Location

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