Provider Demographics
NPI:1386451193
Name:REB ENTERPRISES LLC DBA SYNERGY HOMECARE OF MADISON
Entity type:Organization
Organization Name:REB ENTERPRISES LLC DBA SYNERGY HOMECARE OF MADISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-400-2941
Mailing Address - Street 1:6320 MONONA DR STE 215
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-3984
Mailing Address - Country:US
Mailing Address - Phone:608-400-2941
Mailing Address - Fax:
Practice Address - Street 1:6320 MONONA DR STE 215
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3984
Practice Address - Country:US
Practice Address - Phone:608-400-2941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care