INDEPENDENT NURSE NPI 1245209196

NPI Information

  • NPI: 1245209196
  • Provider Name: INDEPENDENT NURSE
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 11226 W JANESVILLE RD
    HALES CORNERS, WI
    ZIP 53130
  • Phone: (414) 525-0515

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NPI Details

INDEPENDENT NURSE is an adult care home custodial care facility in Hales Corners, WI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. INDEPENDENT NURSE NPI is 1245209196. The provider is registered as an organization entity type.

The provider's business location address is:

11226 W JANESVILLE RD
HALES CORNERS, WI
ZIP 53130-401
Phone: (414) 525-0515

The provider's authorized official is Sharon Marie Blomdahl .
The authorized official title is Ventilator Nurse and has the following contact phone number (414) 525-0515.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home33596031WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139951400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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