1447120670 NPI number — RISE & BLOOM CARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447120670 NPI number — RISE & BLOOM CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RISE & BLOOM CARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447120670
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 PINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAPELAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75844-2618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-373-2889
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 PINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAPELAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75844-2618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-373-2889
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/11/2025

Additional Information

Authorized Official

Authorized Official Last Name:
DUPREE BURNEY
Authorized Official First Name:
CHERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
903-373-2889

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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