Organization Active NPI

Madison Reliable Care Service

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1205669173
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MADISON RELIABLE CARE SERVICE
Practice address
7105 Tempe Dr
Madison, WI 53719-2515
Phone
(763) 600-4471
NPI assigned
Aug 24, 2024
Last updated
Aug 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muhammed Gassama
Title
Administrator
Phone
(763) 600-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

7105 Tempe Dr
Madison, WI 53719-2515

Mailing address

7105 Tempe Dr
Madison, WI 53719-2515
Phone (763) 600-4471

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1205669173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 TEMPE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192515",
            "telephone_number": "763-600-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 TEMPE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192515",
            "telephone_number": "763-600-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RELIABLE CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "GASSAMA",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-600-4471"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.