Burris Adult Family Home LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

STATE LICENSE Issued in WI

Legal business name

BURRIS ADULT FAMILY HOME LLC

Practice address

5249 N 37TH Street
Milwaukee, WI 53209-4727

Phone

(414) 810-3237

Fax

(414) 810-3237

NPI assigned

Apr 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald L Burris

Title

Owner

Phone

(414) 810-3237

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346362639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 NO 37TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094727",
            "telephone_number": "414-810-3237",
            "fax_number": "414-810-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 N 37TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094727",
            "telephone_number": "414-810-3237",
            "fax_number": "414-810-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRIS ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-810-3237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "WI",
            "license": "STATE LICENSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherell Lynette Burrage, RN
• Brenda Faye Burrell, MSW
• Renita C Burrell, DDS
• Monika Burrescia, D.P.T.
• Destinee Burrill, LPN
• Chalehia Burris
• Marcus L. Burris, RN
• Takia Burris, J.D
• Kathleen Burrmann, OTR/L
• Kathleen Burroughs, PHD

• Alzheimer Center (Dementia Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Alzheimer Center (Dementia Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.