Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalized Home Care LLC

Organization Assisted Living Facility · NPI 1619893120

Revitalized Home Care LLC is an Assisted Living Facility in Madison, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6152 Stoney Oak Ln
Madison, WI 53718-7056
Phone: (608) 514-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1619893120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicki Doss — Owner · (608) 514-5424
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 28, 2026
Mailing address6152 Stoney Oak Ln, Madison, WI 53718-7056

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