BREANNA MARIE MCMULLEN
NPI 1083563878
Custodial Care Facility - Adult Care Home in Lancaster, WI

Active since January 24, 2026
12218 COUNTY ROAD K, LANCASTER, WI 53813(608) 482-4631 Get Directions Write a Review

NPPES record last updated: January 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Marie Mcmullen NPPES

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

BREANNA MARIE MCMULLEN (NPI 1083563878) is an individual adult care home provider in Lancaster, Wisconsin, licensed in Wisconsin (0021531) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1083563878
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameBREANNA MARIE MCMULLEN
Location Address12218 COUNTY ROAD KLancaster, WI 53813-9552
Mailing Address12218 County Road KLancaster, WI 53813-9552 · (608) 482-4631
Sole ProprietorYes
Enumeration DateJanuary 24, 2026
NPPES CertifiedJanuary 24, 2026
NPI 1083563878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in WI · 0021531
Definition
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.
12218 COUNTY ROAD K, Lancaster, WI 53813

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 Breanna Mcmullen's NPI number?

The NPI number for Breanna Mcmullen is 1083563878. It was assigned to this individual provider in the NPPES registry on January 24, 2026.

Where is Breanna Mcmullen located?

Breanna Mcmullen practices at 12218 County Road K, Lancaster, WI 53813. The listed phone number is (608) 482-4631.

What is Breanna Mcmullen's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Breanna Mcmullen was last updated on January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.