Provider Demographics
NPI:1922396092
Name:RISE AND SHINE FOUNDATION, INC
Entity type:Organization
Organization Name:RISE AND SHINE FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:SHERESE
Authorized Official - Last Name:WILLIAMS-PEEBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-337-2857
Mailing Address - Street 1:7331 N LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-2001
Mailing Address - Country:US
Mailing Address - Phone:816-337-2857
Mailing Address - Fax:800-482-2125
Practice Address - Street 1:7331 N LEWIS AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-2001
Practice Address - Country:US
Practice Address - Phone:602-400-8331
Practice Address - Fax:816-222-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No305S00000XManaged Care OrganizationsPoint of Service
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities