Organization
RISE UP HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA SHUMONOV (OWNER)
(917) 560-0068
Entity
Organization
Contact information
Practice address
749 OCEAN PKWY, BROOKLYN, NY 11230-7813
(917) 560-0068
(347) 862-5762
Mailing address
749 OCEAN PKWY, BROOKLYN, NY 11230-7813
(917) 560-0068
(347) 862-5762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2387L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2387L001
LICENSED HOME HEALTH CARE
NY
Enumeration date
09/29/2017
Last updated
09/29/2017
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