Provider Demographics
NPI:1396278636
Name:BIRELEY FAMILY CARES, INC.
Entity type:Organization
Organization Name:BIRELEY FAMILY CARES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-365-1443
Mailing Address - Street 1:1001 W GLEN OAKS LN
Mailing Address - Street 2:SUITE #104
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3365
Mailing Address - Country:US
Mailing Address - Phone:262-365-1443
Mailing Address - Fax:262-643-4538
Practice Address - Street 1:1001 W GLEN OAKS LN
Practice Address - Street 2:SUITE #104
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3365
Practice Address - Country:US
Practice Address - Phone:262-365-1443
Practice Address - Fax:262-643-4538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care