Provider Demographics
NPI:1578270591
Name:RESTING RESIDENTIAL LLC
Entity type:Organization
Organization Name:RESTING RESIDENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:BURHAN
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-286-9685
Mailing Address - Street 1:4321 BRITTA DR APT 8
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3850
Mailing Address - Country:US
Mailing Address - Phone:608-286-9685
Mailing Address - Fax:
Practice Address - Street 1:4321 BRITTA DR APT 8
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-3850
Practice Address - Country:US
Practice Address - Phone:715-914-9335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care