Provider Demographics
NPI:1174753859
Name:RISE HME HEALTH CARE
Entity type:Organization
Organization Name:RISE HME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:GARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-686-3141
Mailing Address - Street 1:333 WASHINGTON AVE N STE 325
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1364
Mailing Address - Country:US
Mailing Address - Phone:612-373-7004
Mailing Address - Fax:612-677-3888
Practice Address - Street 1:333 WASHINGTON AVE N STE 325
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1364
Practice Address - Country:US
Practice Address - Phone:612-373-7004
Practice Address - Fax:612-677-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN986425300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health