Healthcare Provider Details

I. General information

NPI: 1700624855
Provider Name (Legal Business Name): BARRINGTON FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 W WISCONSIN AVE STE 202
MILWAUKEE WI
53203-1924
US

IV. Provider business mailing address

606 W WISCONSIN AVE STE 202
MILWAUKEE WI
53203-1924
US

V. Phone/Fax

Practice location:
  • Phone: 612-207-5131
  • Fax:
Mailing address:
  • Phone: 612-207-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHUEYB GOBANA YOUB
Title or Position: DIRECTOR
Credential:
Phone: 612-207-5131