Provider Demographics
NPI:1871130666
Name:HIGH RISE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:HIGH RISE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMAND
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUETSOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-340-7279
Mailing Address - Street 1:8 PARK PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1521
Mailing Address - Country:US
Mailing Address - Phone:908-340-7279
Mailing Address - Fax:
Practice Address - Street 1:8 PARK PL
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1521
Practice Address - Country:US
Practice Address - Phone:908-340-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450433722OtherNEW JERSEY DEPARTMENT OF TREASURY