=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841209780
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIZEWISE RENTALS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2006
-----------------------------------------------------
Last Update Date | 10/13/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16312 W GLENDALE DR
-----------------------------------------------------
City | NEW BERLIN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53151-2842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-797-5673
-----------------------------------------------------
Fax | 262-797-8356
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 318
-----------------------------------------------------
City | ELLIS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67637-0318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-814-9389
-----------------------------------------------------
Fax | 816-841-0661
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HOMECARE ADMINISTRATOR
-----------------------------------------------------
Name | JOHN DOPITA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-814-9389
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------