RISE RECOVERY (NPI# 1528604501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528604501 |
| Entity Type | Organization |
| Organization Name | RISE RECOVERY |
| Practice Address |
395 W 17th St San Bernardino CA 92405-4409 |
| Practice Telephone | 9097336490 |
| Practice Fax Number | 2139864916 |
| Mailing Telephone | 9097336490 |
| Mailing Fax Number | 2139864916 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | KARINA CRUZ (MANAGEING PARTNER) |
| Authorized Official Telephone | 9097336490 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNDATION ENTERPRISES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1336598259 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rise Recovery & Towing inc | 334 S Hazel Ct, Denver, CO 80219 |
| Colorado Business Entities | RISE Recovery Coaching LLP | 11580 Ridgeview Ct, Parker, CO 80138 |
| Street Address |
395 W 17TH ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92405-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177497 | New Hope Transitional Living | Clinical Nurse Specialist | 1228 West 31st, San Bernardino, CA 92405 | 2019-07-25 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1609385756 | Abraham Isacc Gonzalez | Registered Nurse | 255 W 17th St, San Bernardino, CA 92405 | 2017-09-20 |
| 1962945675 | Ann Marie Monica Clark | Assisted Living Facility | 3524 Acacia Avenue, San Bernardino, CA 92405 | 2016-11-29 |
| 1801265715 | Leslie Del Toro | Counselor | 2025 N D St, San Bernardino, CA 92405 | 2015-09-21 |
| 1558797324 | Nora Escobar-mandujano | Marriage & Family Therapist | 1441 North 'd' Street, San Bernardino, CA 92405 | 2013-09-24 |
| 1295088284 | Elizabeth Rocha | Counselor | 1669 North E Street, San Bernardino, CA 92405 | 2012-10-16 |
| 1972855237 | Vanessa Kelly Gutierrez | Marriage & Family Therapist | 1669 N E Street, San Bernardino, CA 92405 | 2012-10-11 |
| 1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
| 1508167602 | Al Shifa Clinic Incorporated | Voluntary or Charitable | 2334 North Sierra Way, San Bernardino, CA 92405 | 2010-11-06 |
| Find all providers in zip 92405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547229 | Frank R Rivera | Counselor | 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 | 2020-08-04 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1134644115 | Jorge Vasquez | Counselor | 222 W Hospitality Ln, San Bernardino, CA 92415-3536 | 2017-08-10 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1477073377 | Mack William Tolle | Counselor | 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 | 2017-06-21 |
| 1093247215 | Traci Stockham | Counselor | 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 | 2017-03-28 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1770944704 | Cheryl Fox | Counselor | 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 | 2016-03-18 |
| 1346600921 | Latasha Mcdonald | Counselor | 1365 North F Street, San Bernardino, CA 92405-0123 | 2016-02-25 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92405 |
Please comment or provide details below to improve the information on RISE RECOVERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.