Abundant Homes for Independent LLC

Organization Active NPI Adult Care Home Facility · Milwaukee, WI

NPI 1992539969 · NPPES record last updated Aug 30, 2024

Key facts

NPI
1992539969
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
ABUNDANT HOMES FOR INDEPENDENT LLC
Practice address
4645 N 46TH St
Milwaukee, WI 53218-5210
Phone
(414) 616-1180
Fax
(414) 662-5203
NPI assigned
Aug 30, 2024
Organization subpart
No

Authorized official

Name
Shyvon Metcalf
Title
Director
Phone
(414) 737-0335

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

4645 N 46TH St
Milwaukee, WI 53218-5210

Mailing address

4645 N 46TH St
Milwaukee, WI 53218-5210
Phone (414) 616-1180

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Adult Care Home Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.