# ARISE & SHINE HOME HEALTHCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154844231
- **Authorized official:** DESIREE A JOHNSON LPN (OWNER)
- **Authorized official phone:** (540) 257-4118

## Contact information

- **Practice address:** 5224 WINDBREAK DR, FREDERICKSBURG, VA 22407-9301
- **Practice address phone:** (540) 257-4118
- **Mailing address:** 5224 WINDBREAK DR, FREDERICKSBURG, VA 22407-9301
- **Mailing address phone:** (540) 257-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 164X00000X | Licensed Vocational Nurse | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | VA | Yes |
| 251F00000X | Home Infusion Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/21/2022