INDEPENDENT NURSE
NPI 1245209196
Custodial Care Facility - Adult Care Home in Hales Corners, WI

Active since March 14, 2006
11226 W JANESVILLE RD, HALES CORNERS, WI 53130(414) 525-0515 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Independent Nurse NPPES

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

INDEPENDENT NURSE (NPI 1245209196) is a healthcare organization registered as an adult care home in Hales Corners, Wisconsin and active in the NPI registry since March 2006. The organization lists Sharon Marie Blomdahl, Ventilator Nurse, as its authorized official.

NPPES Registry Identity

NPI1245209196
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameINDEPENDENT NURSE
Location Address11226 W JANESVILLE RDHales Corners, WI 53130-2401
Mailing Address11226 W Janesville RdHales Corners, WI 53130-2401 · (414) 525-0515
Organization SubpartNo
Authorized OfficialSharon Marie BlomdahlVentilator Nurse · (414) 525-0515
Enumeration DateMarch 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1245209196 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 · 33596031
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.
11226 W JANESVILLE RD, Hales Corners, WI 53130

Other Identifiers 1

Medicaid39951400WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
11226 W JANESVILLE RD
HALES CORNERS, WI 53130

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 Independent Nurse's NPI number?

The NPI number for Independent Nurse is 1245209196. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Independent Nurse located?

Independent Nurse is located at 11226 W Janesville Rd, Hales Corners, WI 53130. The listed phone number is (414) 525-0515.

What is Independent Nurse'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 Independent Nurse was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.