ABUNDANT LIFE MANOR
NPI 1407037856
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Milwaukee, WI
NPI Status: Active since November 14, 2007
Contact Information
1904 E BELLEVIEW PL
MILWAUKEE, WI
ZIP 53211
Phone: (414) 962-3200
Fax: (414) 962-3302
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
- CLIA Number: 52D1055194
- CLIA Cert. Type: Other
- CLIA Exp. Date: 06-11-2028
About ABUNDANT LIFE MANOR
This page provides the complete NPI Profile along with additional information for Abundant Life Manor, a provider established in Milwaukee, Wisconsin operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1407037856 assigned on November 2007. The practitioner's primary taxonomy code is 3104A0630X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Abundant Life Manor. The authorized official of this NPI record is Ms. Ruth Ryshke R.n. (Administrator)
- NPI
- 1407037856
- Provider Legal Name
- ABUNDANT LIFE MINISTRY
- Other Organization Name
- ABUNDANT LIFE MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1904 E BELLEVIEW PL MILWAUKEE, WI 53211
- Location Phone
- (414) 962-3200
- Location Fax
- (414) 962-3302
- Mailing Address
- 1904 E BELLEVIEW PL MILWAUKEE, WI 53211
- Mailing Phone
- (414) 962-3200
- Mailing Fax
- (414) 962-3302
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-14-2007
- Last Update Date
- 11-14-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D1055194
- Facility Type
- Other
- Certificate Effective Date
- June 12, 2026
- Certificate Expiration Date
- June 11, 2028
- Laboratory Director
- MARJORIE F. GLEESON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Abundant Life Manor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407037856, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407037856, enumerated as an "organization" on November 14, 2007.
The provider is located at 1904 E BELLEVIEW PL MILWAUKEE, WI 53211 and the phone number is (414) 962-3200.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
