ICONICARE FORT ATKINSON, LLC
NPI 1336790450
Assisted Living Facility in Fort Atkinson, WI

Active since September 20, 2019
737 REENA AVE, FORT ATKINSON, WI 53538(920) 542-1521 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Iconicare Fort Atkinson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICONICARE FORT ATKINSON, LLC (NPI 1336790450), doing business as Reena Senior Living, is a healthcare organization registered as an assisted living facility in Fort Atkinson, Wisconsin and active in the NPI registry since September 2019. The organization lists Tricia Lies, Director Of Financial Services, as its authorized official.

NPPES Registry Identity

NPI1336790450
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameICONICARE FORT ATKINSON, LLC
Location Address737 REENA AVEFort Atkinson, WI 53538-3108
Mailing Address737 Reena AveFort Atkinson, WI 53538-3108
Organization SubpartNo
Authorized OfficialTricia LiesDirector Of Financial Services · (952) 888-2923
Enumeration DateSeptember 20, 2019
NPI 1336790450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

737 REENA AVE, Fort Atkinson, WI 53538

Other Names 1

Doing Business AsReena Senior Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
737 REENA AVE
FORT ATKINSON, WI 53538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iconicare Fort Atkinson, LLC's NPI number?

The NPI number for Iconicare Fort Atkinson, LLC is 1336790450. It was assigned to this organization in the NPPES registry on September 20, 2019. The provider is doing business as Reena Senior Living.

Where is Iconicare Fort Atkinson, LLC located?

Iconicare Fort Atkinson, LLC is located at 737 Reena Ave, Fort Atkinson, WI 53538. The listed phone number is (920) 542-1521.

What is Iconicare Fort Atkinson, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Iconicare Fort Atkinson, LLC was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.