Provider Demographics
NPI:1083596712
Name:ARISE COMMUNITY SUPPORTS CORP
Entity type:Organization
Organization Name:ARISE COMMUNITY SUPPORTS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAKOU
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-558-7933
Mailing Address - Street 1:1086 RICE ST # 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4922
Mailing Address - Country:US
Mailing Address - Phone:651-558-7933
Mailing Address - Fax:
Practice Address - Street 1:1086 RICE ST # 1
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4922
Practice Address - Country:US
Practice Address - Phone:651-558-7933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health