MEDICARE: ARISE HOME HEALTH CARE INC

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	251B00000X	Case Management Agency	04L191	CO
2	251J00000X	Nursing Care Agency	04L191	CO
3	251E00000X	Home Health Agency	04L191	CO

General Provider Information

NPI Number	:	1972970622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2323 S TROY ST
Second Line	:	BUILDING 1 STE 225
City	:	AURORA
State	:	CO
Zip	:	80014-1946
Country	:	US
Telephone Number	:	720-535-4678
Fax Number	:	720-696-6135

Provider Business Practice Location Address
First Line	:	2323 S TROY ST
Second Line	:	BUILDING 1 225
City	:	AURORA
State	:	CO
Zip	:	80014-1946
Country	:	US
Telephone Number	:	720-535-4678
Fax Number	:	720-696-6135

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	LAURETTA IFEOMA IWUALA MCWILLIAMS
Credential	:	RN BSN
Telephone Number	:	720-260-2718

Provider Enumeration Date	:	08/28/2015
Last Update Date	:	09/01/2015

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Directions to “ARISE HOME HEALTH CARE INC ” Practice Location

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