Healthcare Provider Details

I. General information

NPI: 1356256028
Provider Name (Legal Business Name): RILEY & ASSOCIATES CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 S 68TH ST
MILWAUKEE WI
53219-4030
US

IV. Provider business mailing address

3319 S 68TH ST
MILWAUKEE WI
53219-4030
US

V. Phone/Fax

Practice location:
  • Phone: 414-412-5088
  • Fax:
Mailing address:
  • Phone: 414-412-5088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDAL ANTHONY RILEY JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 414-412-5088