Provider Demographics
NPI:1740093913
Name:ONE BIG FAMILY ADULT FAMILY HOMES LLC
Entity type:Organization
Organization Name:ONE BIG FAMILY ADULT FAMILY HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-806-7252
Mailing Address - Street 1:316 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-2040
Mailing Address - Country:US
Mailing Address - Phone:262-806-7252
Mailing Address - Fax:419-781-4255
Practice Address - Street 1:316 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-2040
Practice Address - Country:US
Practice Address - Phone:262-806-7252
Practice Address - Fax:419-781-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home