Provider Demographics
NPI:1104794569
Name:ENAT HOMECARE LLC
Entity type:Organization
Organization Name:ENAT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARON
Authorized Official - Middle Name:MARKOS
Authorized Official - Last Name:REGASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-213-7895
Mailing Address - Street 1:2325 APACHE DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4702
Mailing Address - Country:US
Mailing Address - Phone:608-213-7895
Mailing Address - Fax:
Practice Address - Street 1:2325 APACHE DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-4702
Practice Address - Country:US
Practice Address - Phone:608-213-7895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty