ABUNDANT LIFE MANOR
NPI 1407037856
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Milwaukee, WI

Active since November 14, 2007CLIA 52D1055194 · Waiver
1904 E BELLEVIEW PL, MILWAUKEE, WI 53211(414) 962-3200(414) 962-3302 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abundant Life Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT LIFE MANOR (NPI 1407037856) is a healthcare organization registered as an assisted living, behavioral disturbances in Milwaukee, Wisconsin and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Ruth Ryshke, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407037856
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameABUNDANT LIFE MINISTRY
Location Address1904 E BELLEVIEW PLMilwaukee, WI 53211-3901
Mailing Address1904 E Belleview PlMilwaukee, WI 53211-3901 · (414) 962-3200 · Fax (414) 962-3302
Fax(414) 962-3302
Organization SubpartYes
Authorized OfficialRuth RyshkeAdministrator · (414) 257-4350
Enumeration DateNovember 14, 2007
NPI 1407037856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

1904 E BELLEVIEW PL, Milwaukee, WI 53211

Other Names 1

Doing Business AsAbundant Life Manor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1055194

Abundant Life Manor Abundant Life Ministry, Inc · Milwaukee, WI
Active · expires Jun 11, 2028
CLIA Number52D1055194
Laboratory TypeOther
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorMarjorie F. Gleeson
Laboratory Phone(414) 962-3200
Laboratory LocationAbundant Life Manor Abundant Life Ministry, Inc1904 E Belleview Pl, Milwaukee, WI 53211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Life Ministry's NPI number?

The NPI number for Abundant Life Ministry is 1407037856. It was assigned to this organization in the NPPES registry on November 14, 2007. The provider is doing business as Abundant Life Manor.

Where is Abundant Life Ministry located?

Abundant Life Ministry is located at 1904 E Belleview Pl, Milwaukee, WI 53211. The listed phone number is (414) 962-3200.

What is Abundant Life Ministry's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Does Abundant Life Ministry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1055194) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abundant Life Ministry was last updated on November 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.