Rennadaviscares LLC
In Home Supportive Care in Sun Prairie, WI. Organization (NPI-2).
NPI number1023973229
StatusActive
Last updated in NPPESDec 19, 2025
Details
- NPI
- 1023973229
- Entity type
- Organization (NPI-2)
- Legal business name
- Rennadaviscares LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2025
- Certification date
- Dec 16, 2025
- Last updated
- Dec 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
272 S Musket Ridge Dr #3Sun Prairie, WI 53590
Phone 608-733-0656
Mailing address
939 S Park StPmb1112
Madison, WI 53715-1833
Phone 608-733-0656
Authorized official
Robin Thompson
Owner
6087330656
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