INDEPENDENT LIFESTYLES, INC. (NPI# 1124273479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124273479 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT LIFESTYLES, INC. |
| Practice Address |
4405 S Deerwood Dr New Berlin WI 53151-9240 |
| Practice Telephone | 2627826068 |
| Practice Fax Number | 2628272642 |
| Mailing Telephone | 2627826068 |
| Mailing Fax Number | 2628272642 |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |
| Authorized Official Name | MR. DAN ALAN HOECHERL (ADMINISTRATOR/NURSE) |
| Authorized Official Telephone | 4142415010 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852732 | Independent Lifestyles, Inc. | Case Management | 215 N Benton Dr, Sauk Rapids, MN 56379-1530 | 2020-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | INDEPENDENT LIFESTYLES, INC. | , , |
| Virginia Business Entity | Independent Lifestyles, Inc. | 4880 S AMHERST HWY , MADISON HGTS, VA 24572 |
| Street Address |
4405 S DEERWOOD DR |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689829939 | Lifecare Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| 1942455290 | Golden Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654392 | Frontida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 21600 W Cleveland Ave, New Berlin, WI 53146-1930 | 2013-04-05 |
| 1689829939 | Lifecare Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953475 | County of Trempealeau | Community Based Residential Treatment Facility, Mental Illness | N36655 County Road Qqq, Whitehall, WI 54773-4401 | 2020-08-19 |
| 1932699873 | Dominique Lindsey | Community Based Residential Treatment Facility, Mental Illness | 4031 N 86th St, Milwaukee, WI 53222-1701 | 2018-05-16 |
| 1841706942 | Normic Enterprises Inc | Community Based Residential Treatment Facility, Mental Illness | N8761 Overland Dr, Watertown, WI 53094-9592 | 2017-12-27 |
| 1053858019 | Wise Management Inc. | Community Based Residential Treatment Facility, Mental Illness | 1538 W Liebau Rd, Mequon, WI 53092-2621 | 2017-01-27 |
| 1629513775 | Vessels of God | Community Based Residential Treatment Facility, Mental Illness | 2821 N 4th St # 304, Milwaukee, WI 53212-2362 | 2016-12-28 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1104207497 | Platteville Family Resource Center | Community Based Residential Treatment Facility, Mental Illness | 155 W Lewis St, Platteville, WI 53818-2103 | 2015-06-12 |
| 1902214182 | Mental Health Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1117 Clara Ave, Sheboygan, WI 53081-5317 | 2014-07-31 |
| 1346658234 | Phoenix Recovery Services LLC | Community Based Residential Treatment Facility, Mental Illness | 600 W Hickory St, Gilman, WI 54433-0188 | 2014-07-24 |
| 1801214457 | Mikolaj Szypicyn | Community Based Residential Treatment Facility, Mental Illness | 261 3rd St, Reedsburg, WI 53959-1621 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.