1922898303 NPI number — ARISE SUBSTANCE ABUSE CARE SERVICES

Table of content: (NPI 1922898303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922898303 NPI number — ARISE SUBSTANCE ABUSE CARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARISE SUBSTANCE ABUSE 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:
6
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:
1922898303
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4545 NORTHWESTERN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZIONSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46077-7834
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-708-1660
Provider Business Mailing Address Fax Number:
317-756-9178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4545 NORTHWESTERN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZIONSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46077-7834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-708-1660
Provider Business Practice Location Address Fax Number:
317-756-9178
Provider Enumeration Date:
05/08/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MASHINDI
Authorized Official First Name:
RUDO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MANAGING PARTNER
Authorized Official Telephone Number:
317-708-1660

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 300125023 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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