Iconicare Fort Atkinson, LLC
NPI 1336790450 · Assisted Living Facility · Fort Atkinson, WI
Iconicare Fort Atkinson, LLC is a Assisted Living Facility organization in Fort Atkinson, WI (NPI 1336790450).
Provider details
- NPI number
- 1336790450
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tricia Lies, Director of Financial Services(952) 888-2923
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Reena Senior Living
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2019-09-20
Frequently asked questions
- What is Iconicare Fort Atkinson, LLC's NPI number?
- Iconicare Fort Atkinson, LLC's National Provider Identifier (NPI) is 1336790450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iconicare Fort Atkinson, LLC?
- Iconicare Fort Atkinson, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Iconicare Fort Atkinson, LLC located?
- Iconicare Fort Atkinson, LLC's practice location on file with NPPES is 737 Reena Ave, Fort Atkinson, WI 53538-3108.
- What is Iconicare Fort Atkinson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Iconicare Fort Atkinson, LLC is (920) 542-1521.
- Who is the authorized official for Iconicare Fort Atkinson, LLC?
- The authorized official listed on Iconicare Fort Atkinson, LLC's NPPES record is Tricia Lies, Director of Financial Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iconicare Fort Atkinson, LLC's NPI active?
- Yes — Iconicare Fort Atkinson, LLC's NPI (1336790450) is active in the NPPES registry as of the last update on 2019-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.