MEDICARE: GROUP HOUSE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467382424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUP HOUSE SERVICES

Provider Business Mailing Address
First Line	:	9602 SUMMER WILLOW LN
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9034
Country	:	US
Telephone Number	:	608-334-2414
Fax Number	:

Provider Business Practice Location Address
First Line	:	9602 SUMMER WILLOW LN
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9034
Country	:	US
Telephone Number	:	608-334-2414
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANGER
Name	:	ANAS ALDOORI
Credential	:
Telephone Number	:	608-334-2414

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “GROUP HOUSE SERVICES ” Practice Location

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