Provider Demographics
NPI:1487268041
Name:A RISE ABOVE HOME CARE
Entity type:Organization
Organization Name:A RISE ABOVE HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CASE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-418-7830
Mailing Address - Street 1:7255 ANTELOPE MEADOWS CIR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-5015
Mailing Address - Country:US
Mailing Address - Phone:719-418-7830
Mailing Address - Fax:719-985-8429
Practice Address - Street 1:1485 GOLDEN HILLS RD
Practice Address - Street 2:
Practice Address - City:COLO SPGS
Practice Address - State:CO
Practice Address - Zip Code:80919-7928
Practice Address - Country:US
Practice Address - Phone:719-418-7830
Practice Address - Fax:719-985-8429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27658872Medicaid
CO26470519Medicaid