Provider Demographics
NPI:1164228201
Name:RILEY CONSULTANT SERVICES
Entity type:Organization
Organization Name:RILEY CONSULTANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:414-412-5088
Mailing Address - Street 1:2222 N MAYFAIR RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2260
Mailing Address - Country:US
Mailing Address - Phone:414-412-5088
Mailing Address - Fax:
Practice Address - Street 1:2222 N MAYFAIR RD STE 100
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2260
Practice Address - Country:US
Practice Address - Phone:414-412-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care