Abundant Life Ministry

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ABUNDANT LIFE MINISTRY

Doing business as

Abundant Life Manor

Practice address

1904 E Belleview PL
Milwaukee, WI 53211-3901

Phone

(414) 962-3200

Fax

(414) 962-3302

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

ABUNDANT LIFE MINISTRYAs reported in NPPES

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

Authorized official

Name

Ms. Ruth Ryshke, R.N.

Title

Administrator

Phone

(414) 257-4350

Specialties & licenses 1

Addresses

Other names 1

• Abundant Life Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Abundant Life Ministry

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Burgarino, M.D.

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1598829665
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1407037856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113901",
            "telephone_number": "414-962-3200",
            "fax_number": "414-962-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113901",
            "telephone_number": "414-962-3200",
            "fax_number": "414-962-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE MINISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABUNDANT LIFE MINISTRY",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "RYSHKE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-257-4350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Life Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Behavioral Disturbances) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.