Healthcare Provider Details

I. General information

NPI: 1932467743
Provider Name (Legal Business Name): NIGHT OWL SUPPORT SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 E. OLIN AVE. SUITE 110
MADISON WI
53713
US

IV. Provider business mailing address

122 E. OLIN AVE. STE 110
MADISON WI
53713
US

V. Phone/Fax

Practice location:
  • Phone: 877-559-1642
  • Fax: 608-960-4003
Mailing address:
  • Phone: 877-559-1642
  • Fax: 608-960-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE B CHILSON
Title or Position: OWNER/MEMBER
Credential:
Phone: 608-960-4001