Family Heritage Care Center

LBN: Heyde Health System, Inc
Family Heritage Care Center is an health care organization with primary practice located at 1311 Tyler St , Black River Falls WI 54615-1564. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Heyde Health System, Inc can be contacted via phone (715) 284-4396, or through Heyde, Dennis L via phone (715) 726-9094.

Contact Information

Primary practice address
1311 Tyler St Black River Falls WI 54615-1564
Fax: (715) 284-9580
Website:
Authorized official contact:
Name: Heyde, Dennis L

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3211 Wisconsin

Profile Details

NPI number 1003802661
LBN Legal business name Heyde Health System, Inc
DBA Doing business as Family Heritage Care Center
Authorized official Heyde, Dennis L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003802661 NPPES
Wisconsin MEDICAID 20183900

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