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

Roena Angela Waters, ADULTFAMILYHOME

Individual provider Home Health Agency · NPI 1366264624

Roena Angela Waters, ADULTFAMILYHOME is a Home Health Agency in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4910 63rd Ave
Kenosha, WI 53144-1709
Phone: (262) 351-5955
Fax: (262) 222-2399
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 0019382 (WI)

Record details

NPI number1366264624
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADULTFAMILYHOME
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Other providers in Kenosha